The Effect of Adenotonsillectomy on Mean Platelet Volume and Neutrophil-to-Lymphocyte Ratio

Journal Title: Emergency Medicine – Open Journal - Year 2016, Vol 2, Issue 4

Abstract

Objectives: To explore the effect of adenotonsillectomy on mean platelet volume (MPV) levels and neutrophil to lymphocyte ratio (NLR) values in children with obstructive sleep apnea syndrome (OSAS). Subjects and Methods: In total, 127 children (69 males, 58 females; average age 10.20±8.96 years; range, 5-18 years) who underwent adenotonsillectomy with a diagnosis of OSAS were included in the study. Pre-operative MPV levels and NLR values were compared with measurements in the post-operative third month. A p-value <0.05 was considered to reflect statistical significance. Results: Mean pre-operative MPV values were 8.12±1.28 femtoliters (fL) and mean post-operative MPV values were 7.96±1.01 fL, respectively. Post-operative MPV values were significantly lower than pre-operative measurements (p=0,028, p<0.05). Mean pre-operative NLR levels were 1.46±0.82 and post-operative NLR values were 1.42±1.01, respectively. Post-operative NLR values were significantly lower than pre-operative NLR values (p=0.032, p<0.05). Conclusion: We observed statistically significant lower MPV levels and NLR values after adenotonsillectomy in children with OSAS. Future randomized studies should explore the relationship between the MPV levels, NLR values and parameters in polysomnography in larger numbers of patients with OSAS.

Authors and Affiliations

Mustafa Çelik

Keywords

Related Articles

Case Report in Anesthesiology: Essential Pulmonary Hypertension in a Primigravida

A 21-year old gravida 1, para 0, female with a past medical history of Pulmonary Hypertension (PH) secondary to a congenital heart disease (patent foramen ovale), diaphragmatic hernia status post repair, asthma, and atte...

Staghorn Calculus and Xanthogranulomatous Pyelonephritis Complicated by Inflammation of the Vena Cava

A 30-year-old female with multiple presentations for pyelonephritis was diagnosed with Xanthogranulomatous pyelonephritis (XGP) by computed tomography (CT) scan. This patient was intermittently symptomatic for 8-years wi...

High Fidelity Simulation Improves Provider Confidence During ACLS Training Even Among Experienced Staff: Are We Missing an Opportunity?

Background: Advanced Cardiac Life Support (ACLS) resuscitation requires rapid assessment and intervention. It is unclear, however, whether high fidelity simulation improves confidence in providers who are experienced as...

Isolated Prolonged Activated Partial Thromboplastin Time and Contact Factor Deficiencies: Case Series and Management Review

Background: Contact factor deficiencies are rare disorders that can cause grossly prolonged activated partial thromboplastin time (aPTT) and activated clotting time (ACT) while rarely affecting in vivo hemostasis. This i...

Pediatric Pneumonia Guidelines: Inconsistencies between Guidelines, Scientific Evidence and Clinical Practice

In 2011 the Pediatric Infectious Diseases Society (PIDS) and the Infectious Diseases Society of America (IDSA) and the British Thoracic Society (BTS) created extensive guidelines with recommendations for the management o...

Download PDF file
  • EP ID EP546475
  • DOI 10.17140/OTLOJ-2-122
  • Views 186
  • Downloads 0

How To Cite

Mustafa Çelik (2016). The Effect of Adenotonsillectomy on Mean Platelet Volume and Neutrophil-to-Lymphocyte Ratio. Emergency Medicine – Open Journal, 2(4), 101-104. https://europub.co.uk/articles/-A-546475