![](/f/f/edb99351d8b637542eaefa34ca48e89b.jpg)
Current issue
Archive
Manuscripts accepted
About the journal
Editorial board
Abstracting and indexing
Contact
Instructions for authors
Ethical standards and procedures
Editorial System
Submit your Manuscript
|
1/2023
vol. 98 abstract:
Original paper
The systemic immune-inflammation index and neutrophil-lymphocyte ratio in pediatric burned patients – a pilot study
Agata Maria Kawalec
1
Pediatr Pol 2023; 98 (1): 8-11
Online publish date: 2023/03/21
View
full text
Get citation
ENW EndNote
BIB JabRef, Mendeley
RIS Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
Introduction
The aim was to assess the usefulness of blood analytical markers such as systemic immune- inflammation index (SII) and neutrophil-lymphocyte ratio (NLR) in pediatric burned patients. Material and methods The study group included 73 children (23 girls and 50 boys; mean age: 3.83; SD: 4.77; min–max: 0–17 years old) hospitalized due to burns. A retrospective analysis of selected complete blood cell count parameters (leucocytes; platelets – PLT; SII; NLR) collected on the day of injury and selected parameters of burns (extent, depth of the injury, duration of hospitalization, type of treatment) was performed. Results Children with burns that exceeded 10% total body surface area had higher levels of leucocytes than children with less extensive burns (p = 0.023). The PLT count on the day of injury was higher in children with burn wounds that required surgical treatment (p = 0.021). The analysis of groups of children that differed in the values of NLR revealed that children with NLR over 3 were hospitalized longer (on average 3.5 days) than children whose NLR was lower than 3 (p = 0.048). It was found that children with SII over 250 were hospitalized longer than children with SII less than 250 (p = 0.019). There were no differences in the type of treatment (p = 0.21), but children with SII over 250 had more often full thickness burns (p = 0.036). Children under 2 years old with SII over 200 more often required surgical treatment than children with SII less than 200 (p = 0.005). Children under 2 years old with SII over 200 more often had full thickness burn wounds than children with SII less than 200 (p = 0.045). Children under 2 years old with NLR over 2 had more extensive burn wounds (p = 0.049) than children with NLR under 2. Conclusions The systemic immune-inflammation index and NLR can be useful in assessment of pediatric patients with burns. Further studies on larger groups including children with major burns are necessary. keywords:
children, burn injury, neutrophil-lymphocyte ratio (NLR), systemic immune-inflammation index (SII) |