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Red cell distribution width and neutrophil-to-lymphocyte ratio as a predictive factor in treatment of pediatric
Metin Gunduz1, Ilhan Ciftci1, Ahmet Cinar Yasti2
1Department of Pediatric Surgery, Selcuk University Medical Faculty Turkey.
Background:
Red cell distribution width (RDW) is associated with mortality in certain diseases. Neutrophil-to-lymphocyte ratio [NLR] is being used as a decisive parameter in inflammatory diseases. The association between morbidity and RDW-NLR in children with burns is unclear. We aimed to evaluate effectivity of these markers in children with burn.
Methods:
Retrospectively the treatment records of 39 children with second-degree superfisial, second-degree deep, and third-degree burns were evaluated. First group included patients those treated with grafts and second group included those treated with topical agents. Total body surface area [TBSA], age, RDW, NLR, sex, and albumin values were evaluated. The association of RDW and NLR with both groups were analysed.
Results:
Patients in group 2 had mild increase in RDW and NLR values but it was not more statistically significant than in group 1. A positive relationship between NLR and length of hospital stay, TBSA and length of hospital stay, and RDW and lymphocyte values was found. A negative correlation between albumin values and length of hospital stay was found.
Conclusion:
NLR is associated with morbidity in patients with burns; although RDW has not any relationship with morbidity in pediatric scald burns.
