Inflammatory markers in systemic immune-inflammatory index and inflammatory response index to predict early pregnancy loss
| dc.contributor.author | Çallıoğlu, Nihal | |
| dc.contributor.author | Gül, Derya Kanza | |
| dc.contributor.author | Arslan, İlke Özer | |
| dc.contributor.author | Geyikoğlu, İpek | |
| dc.contributor.author | Demirçivi, Ergül | |
| dc.date.accessioned | 2025-05-28T17:42:02Z | |
| dc.date.available | 2025-05-28T17:42:02Z | |
| dc.date.issued | 2024 | |
| dc.department | İstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı | |
| dc.description.abstract | OBJECTIVES: To uncover the predictive value of systemic immune-inflammatory index (SII) and systemic inflammatory response index (SIRI) on early pregnancy loss. METHODS: A total of 535 individuals were enrolled in this retrospective analysis. The early pregnancy losses (EPL) group included patients between 18-35 years old who experienced EPL. The control group comprised healthy pregnant women who gave birth at ≥37 weeks. RESULTS: The EPL group had significantly lower plateletcrit (p=0.04), platelet distribution width (PDW, p<0.0001), and RDW (p<0.0001) and higher monocyte (p<0.0001) and SIRI (p<0.0001) values than the control group. The hemoglobin, white blood cells, platelet count, neutrophil count, lymphocyte count, mean platelet volume, neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), and SII values were not significantly different between the EPL and control groups (p>0.05). The cut-off value for the SIRI that offers the best sensitivity/specificity balance was 1.48 (sensitivity of 63%; specificity of 63%) in the receiver operating characteristics curve. Among the inflammatory parameters for predicting EPL, PDW had highest specificity (84%), and RDW had the highest sensitivity (80%). CONCLUSION: This study provides compelling evidence that various inflammatory pathways may significantly contribute to EPL pathogenesis. Moreover, our findings suggest that SIRI could be a more effective marker than NLR, PLR, MLR, and SII in predicting EPL in an ongoing pregnancy, thereby potentially revolutionizing early pregnancy loss diagnostics. | |
| dc.identifier.citation | Çallıoğlu, N., Gül, D. K., Arslan, İ. Ö., Geyikoğlu, İ. ve Demirçivi, E. (2024). Inflammatory markers in systemic immune-inflammatory index and inflammatory response index to predict early pregnancy loss. Saudi Medical Journal, 45(8), 808-813. http://dx.doi.org/10.15537/smj.2024.45.8.20240404 | |
| dc.identifier.doi | 10.15537/smj.2024.45.8.20240404 | |
| dc.identifier.endpage | 813 | |
| dc.identifier.issn | 0379-5284 | |
| dc.identifier.issn | 1658-3175 | |
| dc.identifier.issue | 8 | |
| dc.identifier.pmid | 39074885 | |
| dc.identifier.scopus | 2-s2.0-85200101734 | |
| dc.identifier.scopusquality | Q3 | |
| dc.identifier.startpage | 808 | |
| dc.identifier.uri | http://dx.doi.org/10.15537/smj.2024.45.8.20240404 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12511/12923 | |
| dc.identifier.volume | 45 | |
| dc.identifier.wos | WOS:001302049400006 | |
| dc.identifier.wosquality | Q2 | |
| dc.indekslendigikaynak | Web of Science | |
| dc.indekslendigikaynak | Scopus | |
| dc.indekslendigikaynak | PubMed | |
| dc.institutionauthor | Gül, Derya Kanza | |
| dc.institutionauthorid | 0000-0001-8879-9299 | |
| dc.language.iso | en | |
| dc.relation.ispartof | Saudi Medical Journal | |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.rights | Attribution-NonCommercial 4.0 International | |
| dc.subject | Early Pregnancy Loss | |
| dc.subject | Inflammatory Biomarkers | |
| dc.subject | Mean Platelet Volume | |
| dc.subject | Systemic Immune-Inflammatory Index | |
| dc.subject | Systemic Inflammatory Response Index | |
| dc.title | Inflammatory markers in systemic immune-inflammatory index and inflammatory response index to predict early pregnancy loss | |
| dc.type | Article |











