Complete Blood Count Parameters for Prediction of non-ST Segment Elevation Myocardial Infarction
To evaluate whether the complete blood count parameters can be used to predict patients who will have positive troponin levels during emergency department observation, and to establish whether any single parameter or combination of parameters has sufficiently good diagnostic test criteria results to...
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Veröffentlicht in: | Journal of the College of Physicians and Surgeons--Pakistan 2019-08, Vol.29 (8), p.710-714 |
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container_title | Journal of the College of Physicians and Surgeons--Pakistan |
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creator | Gunes, Harun Saritas, Ayhan Cangur, Sengul Kayapinar, Osman |
description | To evaluate whether the complete blood count parameters can be used to predict patients who will have positive troponin levels during emergency department observation, and to establish whether any single parameter or combination of parameters has sufficiently good diagnostic test criteria results to be recommended for use in daily clinical practice.
An observational study.
Department of Emergency Medicine, Duzce University School of Medicine, Duzce, Turkey, from October 2015 to October 2016.
Study group had patients with positive troponin levels during observation in the emergency department. The control group had normal troponin levels. Their complete blood count parameters were compared individually and in combination.
Total white blood cell count, neutrophil count, red cell distribution width, neutrophil-to-lymphocyte ratio, and some combinations of these parameters were found to be predictive of troponin elevation. The best one was combination of white blood cell count, red cell distribution width and neutrophil-to-lymphocyte ratio.
Some of the complete blood count parameters may provide some clues when predicting troponin elevation in patients with chest pain. However, none of these parameters or no combination of them have sufficiently good diagnostic test criteria results to safely predict non-ST segment elevation myocardial infarction. |
doi_str_mv | 10.29271/jcpsp.2019.08.710 |
format | Article |
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An observational study.
Department of Emergency Medicine, Duzce University School of Medicine, Duzce, Turkey, from October 2015 to October 2016.
Study group had patients with positive troponin levels during observation in the emergency department. The control group had normal troponin levels. Their complete blood count parameters were compared individually and in combination.
Total white blood cell count, neutrophil count, red cell distribution width, neutrophil-to-lymphocyte ratio, and some combinations of these parameters were found to be predictive of troponin elevation. The best one was combination of white blood cell count, red cell distribution width and neutrophil-to-lymphocyte ratio.
Some of the complete blood count parameters may provide some clues when predicting troponin elevation in patients with chest pain. However, none of these parameters or no combination of them have sufficiently good diagnostic test criteria results to safely predict non-ST segment elevation myocardial infarction.</description><identifier>ISSN: 1022-386X</identifier><identifier>EISSN: 1681-7168</identifier><identifier>DOI: 10.29271/jcpsp.2019.08.710</identifier><identifier>PMID: 31358088</identifier><language>eng</language><publisher>Pakistan: College of Physicians and Surgeons Pakistan</publisher><subject>Biomarkers - blood ; Blood Cell Count ; Complete blood count ; Emergency medicine ; Emergency Service, Hospital ; Erythrocyte Indices ; Female ; Heart attack ; Humans ; Male ; Medical research ; Medical schools ; Middle Aged ; Myocardial Infarction - blood ; Myocardial Infarction - diagnosis ; Predictive Value of Tests ; Prospective Studies ; Troponin ; Troponin I - blood ; White blood cell count</subject><ispartof>Journal of the College of Physicians and Surgeons--Pakistan, 2019-08, Vol.29 (8), p.710-714</ispartof><rights>COPYRIGHT 2019 College of Physicians and Surgeons Pakistan</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-e0cecb41f6c14d1136e37d5de8b77f54838e6ff69676e068fd266a59e47cf8b83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31358088$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gunes, Harun</creatorcontrib><creatorcontrib>Saritas, Ayhan</creatorcontrib><creatorcontrib>Cangur, Sengul</creatorcontrib><creatorcontrib>Kayapinar, Osman</creatorcontrib><title>Complete Blood Count Parameters for Prediction of non-ST Segment Elevation Myocardial Infarction</title><title>Journal of the College of Physicians and Surgeons--Pakistan</title><addtitle>J Coll Physicians Surg Pak</addtitle><description>To evaluate whether the complete blood count parameters can be used to predict patients who will have positive troponin levels during emergency department observation, and to establish whether any single parameter or combination of parameters has sufficiently good diagnostic test criteria results to be recommended for use in daily clinical practice.
An observational study.
Department of Emergency Medicine, Duzce University School of Medicine, Duzce, Turkey, from October 2015 to October 2016.
Study group had patients with positive troponin levels during observation in the emergency department. The control group had normal troponin levels. Their complete blood count parameters were compared individually and in combination.
Total white blood cell count, neutrophil count, red cell distribution width, neutrophil-to-lymphocyte ratio, and some combinations of these parameters were found to be predictive of troponin elevation. The best one was combination of white blood cell count, red cell distribution width and neutrophil-to-lymphocyte ratio.
Some of the complete blood count parameters may provide some clues when predicting troponin elevation in patients with chest pain. However, none of these parameters or no combination of them have sufficiently good diagnostic test criteria results to safely predict non-ST segment elevation myocardial infarction.</description><subject>Biomarkers - blood</subject><subject>Blood Cell Count</subject><subject>Complete blood count</subject><subject>Emergency medicine</subject><subject>Emergency Service, Hospital</subject><subject>Erythrocyte Indices</subject><subject>Female</subject><subject>Heart attack</subject><subject>Humans</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical schools</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - blood</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Troponin</subject><subject>Troponin I - blood</subject><subject>White blood cell count</subject><issn>1022-386X</issn><issn>1681-7168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkU1r3DAQhkVJadJt_0APQZBLLnb1YUvjY7KkbSClgaTQm6qVRsHBthzJG8i_r7KbBgpFIA2j5xkGXkI-cVaLTmj--d7Nea4F413NoNacvSFHXAGvdLkPSs2EqCSoX4fkfc73jMmWA7wjh5LLFhjAEfm9juM84IL0fIjR03XcTgu9tsmOpZkyDTHR64S-d0sfJxoDneJU3dzSG7wbsbAXAz7a3d_3p-hs8r0d6OUUbNoZH8jbYIeMH1_eFfn55eJ2_a26-vH1cn12VbmGN0uFzKHbNDwoxxvPuVQotW89wkbr0DYgAVUIqlNaIVMQvFDKth022gXYgFyR0_3cOcWHLebFjH12OAx2wrjNRgilmWBQRq_IyR69swOafgpxSdY94-as7QCEbjpVqPo_VDkex97FCUNf-v8IYi-4FHNOGMyc-tGmJ8OZ2QVmdoGZ58AMA1MCK9Lxy9rbzYj-VfmbkPwDFjCR3A</recordid><startdate>201908</startdate><enddate>201908</enddate><creator>Gunes, Harun</creator><creator>Saritas, Ayhan</creator><creator>Cangur, Sengul</creator><creator>Kayapinar, Osman</creator><general>College of Physicians and Surgeons Pakistan</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201908</creationdate><title>Complete Blood Count Parameters for Prediction of non-ST Segment Elevation Myocardial Infarction</title><author>Gunes, Harun ; Saritas, Ayhan ; Cangur, Sengul ; Kayapinar, Osman</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-e0cecb41f6c14d1136e37d5de8b77f54838e6ff69676e068fd266a59e47cf8b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Biomarkers - blood</topic><topic>Blood Cell Count</topic><topic>Complete blood count</topic><topic>Emergency medicine</topic><topic>Emergency Service, Hospital</topic><topic>Erythrocyte Indices</topic><topic>Female</topic><topic>Heart attack</topic><topic>Humans</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical schools</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - blood</topic><topic>Myocardial Infarction - diagnosis</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Troponin</topic><topic>Troponin I - blood</topic><topic>White blood cell count</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gunes, Harun</creatorcontrib><creatorcontrib>Saritas, Ayhan</creatorcontrib><creatorcontrib>Cangur, Sengul</creatorcontrib><creatorcontrib>Kayapinar, Osman</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the College of Physicians and Surgeons--Pakistan</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gunes, Harun</au><au>Saritas, Ayhan</au><au>Cangur, Sengul</au><au>Kayapinar, Osman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complete Blood Count Parameters for Prediction of non-ST Segment Elevation Myocardial Infarction</atitle><jtitle>Journal of the College of Physicians and Surgeons--Pakistan</jtitle><addtitle>J Coll Physicians Surg Pak</addtitle><date>2019-08</date><risdate>2019</risdate><volume>29</volume><issue>8</issue><spage>710</spage><epage>714</epage><pages>710-714</pages><issn>1022-386X</issn><eissn>1681-7168</eissn><abstract>To evaluate whether the complete blood count parameters can be used to predict patients who will have positive troponin levels during emergency department observation, and to establish whether any single parameter or combination of parameters has sufficiently good diagnostic test criteria results to be recommended for use in daily clinical practice.
An observational study.
Department of Emergency Medicine, Duzce University School of Medicine, Duzce, Turkey, from October 2015 to October 2016.
Study group had patients with positive troponin levels during observation in the emergency department. The control group had normal troponin levels. Their complete blood count parameters were compared individually and in combination.
Total white blood cell count, neutrophil count, red cell distribution width, neutrophil-to-lymphocyte ratio, and some combinations of these parameters were found to be predictive of troponin elevation. The best one was combination of white blood cell count, red cell distribution width and neutrophil-to-lymphocyte ratio.
Some of the complete blood count parameters may provide some clues when predicting troponin elevation in patients with chest pain. However, none of these parameters or no combination of them have sufficiently good diagnostic test criteria results to safely predict non-ST segment elevation myocardial infarction.</abstract><cop>Pakistan</cop><pub>College of Physicians and Surgeons Pakistan</pub><pmid>31358088</pmid><doi>10.29271/jcpsp.2019.08.710</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
subjects | Biomarkers - blood Blood Cell Count Complete blood count Emergency medicine Emergency Service, Hospital Erythrocyte Indices Female Heart attack Humans Male Medical research Medical schools Middle Aged Myocardial Infarction - blood Myocardial Infarction - diagnosis Predictive Value of Tests Prospective Studies Troponin Troponin I - blood White blood cell count |
title | Complete Blood Count Parameters for Prediction of non-ST Segment Elevation Myocardial Infarction |
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