Perioperative medicine & outcomes

Relationship Between Preoperative Inflammation Ratios Derived From Preoperative Blood Cell Count and Postoperative Pulmonary Complications in Patients Undergoing Lobectomy: A Single-Center Observational Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

The results suggested that simple available inflammatory ratios are not useful for the preoperative identification of patients at risk of postoperative major complications in elective lobectomy surgery.

Study context

Population
Patients undergoing scheduled lobectomy, Foch University Hospital, Suresnes, France, January 2018 to September 2021
Participants
208 consecutive patients
Outcome
Association of preoperative inflammatory ratios (NLR, monocyte-to-lymphocyte, platelet-to-lymphocyte, systemic inflammation index, systemic inflammation response index, aggregate inflammation systemic index) with ≥1 major postoperative complication
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

≥1 major postoperative complication

37%

Preoperative neutrophil-to-lymphocyte ratio (NLR), median (IQR)

2.67

1.92–3.69

Observational data: associations, not effects.

Further findings

Prolonged postoperative length of stay (LOS) (above 75th percentile)

Median postoperative LOS (days)
7 (5-10)
None of the ratios associated with prolonged LOS

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Relationship Between Preoperative Inflammation Ratios Derived From Preoperative Blood Cell Count and Postoperative Pulmonary Complications in Patients Undergoing Lobectomy: A Single-Center Observational Study. J Cardiothorac Vasc Anesth. Published 4 November 2023. doi:10.1053/j.jvca.2023.11.001

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