A cut‐off value for systemic <scp>immune‐inflammation</scp> index in the prediction of adverse neonatal outcomes in preterm premature rupture of the membranes

Uyanık, Esra; Ünal, Canan; Beksaç, Mehmet Sinan

doi:10.1111/jog.14320

Cited by 41 publications

(54 citation statements)

References 33 publications

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“…In a study in 1986, Müftüogľu et al showed signi cantly higher ESR and CRP results in patients with active BD rather than inactive or control group (20). This result was also supported by Tanacan et al study in 2020 which ESR and CRP levels in 103 active BD patients showed a statistically signi cant difference compared to 63 patients in the inactive disease group (29). Our study results also con rm this hypothesis since ESR and CRP values in 450 individuals with active BD showed considerable difference compared to 64 inactive BD patients.…”

Section: Discussionsupporting

confidence: 90%

Predictive value of erythrocyte sedimentation rate and C-reactive protein in Behcet's disease activity and manifestations: a cross-sectional study

Nasri

Moradi

Masoumi

et al. 2021

Preprint

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Background Behcet’s disease (BD) as a chronic inflammatory condition that affects the eyes, skin, central nervous system, gastrointestinal tract and vessels. According to the literature, the exact value of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) in predicting active manifestations of BD remains controversial. In this study, we aim to assess and compare values of ESR and CRP between BD patients with active/ inactive BD and active/inactive manifestations of the disease. Moreover, we try to determine the predictive value of ESR and CRP for disease activity. Methods Participants (n = 514) were drug-naïve BD patients; Based on last two visits, ESR and CRP values, disease activity, and active manifestations were recorded. The Man-Whitney U test measured the associations, and the binomial logistic regression evaluated the predictive value of ESR and CRP for active disease and each active manifestation. The sensitivity and specificity and the area under the curve (AUC) for each model were determined using receiver operating characteristic curves (ROC). Multiple regressions were run to predict BD activity score from ESR and CRP. Result Patients with active ocular, oral, genital, joint and dermal manifestations had higher ESR and CRP values (Mann-Whitney U test, p < 0.05 for all). Binomial logistic regressions showed that ESR had valuable predictive value for active BD (OR = 1.09[1.04–1.13], AUC = 0.79[0.74–0.83], p < 0.001) and active vascular manifestations (1.03[1.01–1.05], AUC = 0.85[0.79–0.92], p < 0.001). CRP had good predictive value for active vascular manifestations (OR 1.98[1.45–2.72], AUC = 0.86[0.8–0.91], p < 0.001,). The optimal value of ESR ≥ 10.5 and ESR ≥ 42.5 could predict active BD and active vascular manifestations with Sensitivity,Specificity = 71%,75% and = 81%, 83% respectively. Conclusions ESR and CRP are both associated with active BD and most manifestations of the diseases. They can be used for the prediction of active BD and active vascular manifestations in BD patients. Further studies can help to confirm the findings of the current research.

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Section: Discussionsupporting

confidence: 90%

Predictive value of erythrocyte sedimentation rate and C-reactive protein in Behcet's disease activity and manifestations: a cross-sectional study

Nasri

Moradi

Masoumi

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…[7][8][9] The SII value was evaluated for prediction of adverse neonatal outcomes in preterm premature rupture of membranes (PPROM), and researchers found significantly increased SII values in the patients with PPROM. [10] Monochorionic twin pregnancies have higher perinatal complication risks than dichorionic twin pregnancies. [20] Riyami et al [21] observed that high perinatal morbidity and mortality rate is likely due to frequent twinto-twin transfusion syndrome, prematurity, fetal growth restriction, and intrauterine fetal death.…”

Section: Discussionmentioning

confidence: 99%

“…[7] It has been used as a clinical marker to predict the prognosis of the obstetric complications and oncological diseases in various studies. [8][9][10][11] In this study, we aim to evaluate the SII in twin pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Systemic immune-inflammation index in twin pregnancies compared to singleton pregnancies

Turgut¹,

Sakcak²,

Oluklu³

et al. 2021

Perinatal J

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Objective To evaluate the systemic immune-inflammation index (SII) in twin pregnancies. Methods The retrospective study included 200 twin (dichorionic/ diamniotic and monochorionic/diamniotic) and 200 singleton pregnancies (control group). All pregnant women were in the first trimester (<14 weeks of gestation). The study and the control groups were compared in terms of demographic characteristics, laboratory test results, and SII values. Results The mean week of gestation was 9.7±2 in dichorionic diamniotic twin pregnancy group, 10.4±2 in monochorionic diamniotic twin pregnancy group and 9.4±2 for the control group (p=0.083). The lymphocyte value was lower in the dichorionic group and monochorionic group than in the control group (p=0.020 and p=0.020, respectively). The platelet-to-lymphocyte ratio (PLR) values were higher in the dichorionic group than in the control group (p=0.002). However, there was no statistical difference between the groups for neutrophil-to-lymphocyte ratio (NLR) and SII values (p>0.05). Conclusion Physiological inflammatory/immune reaction of early pregnancy may affect PLR values in twin pregnancies. We observed that chorionicity is considerable for these inflammatory indices, especially for dichorionic twin pregnancies. However, we could not detect a significant change in SII values in twin pregnancy.

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“…Prediction and prevention of pregnancy complications such as preterm birth are significant issues in the modern obstetric field 33 . Determination of delivery time due to preterm birth is especially critical because the development of maternal and neonatal complications is complex, and researchers developed many methods to solve neonatal and maternal complications to date 34 . This article will help diagnose and predict preterm birth cases via the usage of the placental sonoelastography, a relatively new field of study, to investigate placental tissue structure.…”

Section: Discussionmentioning

confidence: 99%

Can placental elasticity predict the time of delivery in cases of threatened preterm labor?

Tolunay

Eroğlu

Çelik

et al. 2020

J of Obstet and Gynaecol

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Aim We aimed to evaluate placental elasticity for the short‐time prediction of delivery in cases of threatened preterm labor (TPL). Methods We performed a prospective study with consented pregnant women diagnosed with TPL (24th to 34th gestational week). According to the birth time, the patients were grouped into two groups, whether the delivery happened in the following first week or not. We compared the placental strain ratio (PSR) values between these two groups. Results A total of 108 pregnant women divided into two groups according to the delivery time were enrolled in our study. The pregnant women who had a delivery in 1 week after hospitalization have increased PSR values when compared to those who have not delivered within 1 week (P < 0.001). Multivariate logistic regression analysis showed that cervical length and PSR were significantly associated with delivery in 1 week after hospitalization. When the cervical length was entered as a covariate (control) variable, PSR was significantly associated with delivery time (B = 0.504, odds ratio: 1.655, 95% confidence interval: 1.339–2.045, P < 0.001). A PSR value of 4.04 had a sensitivity of 77.78% and a specificity of 87.04% in terms of short‐time prediction of the delivery time, in the receiver–operator curves analysis to determine the cut‐off point PSR value. Conclusion Elastography may contribute to predict the delivery time in high‐risk pregnants with TPL.

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A cut‐off value for systemic immune‐inflammation index in the prediction of adverse neonatal outcomes in preterm premature rupture of the membranes

Cited by 41 publications

References 33 publications

Predictive value of erythrocyte sedimentation rate and C-reactive protein in Behcet's disease activity and manifestations: a cross-sectional study

Predictive value of erythrocyte sedimentation rate and C-reactive protein in Behcet's disease activity and manifestations: a cross-sectional study

Systemic immune-inflammation index in twin pregnancies compared to singleton pregnancies

Can placental elasticity predict the time of delivery in cases of threatened preterm labor?

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