Efficiency of Lymphocyte-to-Monocyte Ratio in Differential Diagnosis of Parapneumonic Effusion and Thoracic Empyema

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dc.contributor.authorSarıçam, Murat
dc.date.accessioned2022-05-11T14:35:02Z
dc.date.available2022-05-11T14:35:02Z
dc.date.issued2020
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Göğüs Cerrahisi Ana Bilim Dalı
dc.description.abstractBackground: Parapneumonic effusion (PPE) and thoracic empyema (TE) necessitate prompt differential diagnosis regarding their unequal rates of mortality and disparate methods of treatment. Patients and Methods: A total of 80 patients with equally divided between the PPE and TE groups were evaluated in terms of age, gender, side of the affected hemithorax, and peripheral blood counts including white blood cell (WBC) count, C-reactive protein (CRP), lymphocyte, monocyte, and lymphocyte-to-monocyte ratio (LMR). Results: The difference between the two groups in terms of age, gender, side of the disease, and monocyte count was not statistically significant (p > 0.05) whereas WBC count, lymphocyte, and LMR was significantly higher in the TE group (p < 0.05). Lymphocyte-to-monocyte ratio over 2.45 was a differential diagnostic test of PPE and TE at 85% sensitivity and 87.5% specificity. Conclusions: Lymphocyte-to-monocyte ratio is an effective indicator to finalize the differential diagnosis of PPE and TE when combined with high levels of serum WBC, CRP, and lymphocytes in addition to clinical and radiologic findings.
dc.identifier.doi10.1089/sur.2019.346
dc.identifier.endpage894
dc.identifier.issn1096-2964
dc.identifier.issn1557-8674
dc.identifier.issue10en_US
dc.identifier.pmid32310736
dc.identifier.startpage891
dc.identifier.urihttps://doi.org/10.1089/sur.2019.346
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8177
dc.identifier.volume21
dc.identifier.wosWOS:000527396700001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorSarıçam, Murat
dc.language.isoen
dc.publisherMary Ann Liebert, Inc
dc.relation.ispartofSurgical Infections
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectparapneumonic effusion
dc.subjectthoracic empyema
dc.subjectdifferential diagnosis
dc.subjectlymphocyte-to-monocyte ratio
dc.titleEfficiency of Lymphocyte-to-Monocyte Ratio in Differential Diagnosis of Parapneumonic Effusion and Thoracic Empyema
dc.typeArticle

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