Neutrophil lymphocyte ratio predicts postoperative pain after orthognathic surgery

Turgut, Hüseyin; Alkan, Metin; Ataç, Mustafa Sancar; Altundağ, Sevil Kahraman; Bozkaya, Süleyman; Şimşek, Barış; Işık, Berrin; Arslan, M

doi:10.4103/1119-3077.181399

Cited by 17 publications

(20 citation statements)

References 2 publications

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“…The pain is related to the surgical act itself and several factors, such as contraction of peripheral soft tissues and surrounding muscle stiffness (26) . Its control improves respiratory function, promotes hemodynamic stability, inhibits hormonal and metabolic reactions, and decreases hospitalization time (27) .…”

Section: Discussionmentioning

confidence: 99%

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Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period

et al. 2021

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Objectives: to identify the main doubts regarding the immediate postoperative care of patients with orofacial clefts undergoing orthognathic surgery. Methods: cross-sectional, quantitative study, developed in a public and tertiary hospital, between November 2017 and May 2018. Data collection occurred through interviews during the preoperative nursing consultation. An instrument was used to describe doubts, which later were grouped according to the subject. Results: 48 patients participated. The doubts referred to sun exposure (56%), food/mastication (48%), the relationship between intermaxillary block-breathing-vomiting (48%), oral hygiene (31%), physical activity restriction (27%), nasopharyngeal cannula, removal of surgical stitches, hospitalization time and speech/communication (23%), bleeding, cryotherapy, facial massage, aesthetic and functional results, healing, edema/ecchymosis, postoperative pain, and changes in facial sensitivity (21%). Conclusions: the doubts were related to food, the period of convalescence, care for the surgical wound, postoperative complications, and medications.

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Section: Discussionmentioning

confidence: 99%

“…Another topic was about the medications used. Opioids are used to treat pain in the immediate postoperative period, while traditional analgesics are used in the mediate period (26) . However, the administration of non-steroidal anti-inflammatory drugs is also frequently employed, depending on the patient's pain threshold.…”

Section: Discussionmentioning

confidence: 99%

Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period

et al. 2021

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“…In general, a higher NLR is positively related to high mortality, poor prognosis, inflammatory status, and its consequences. It is well-known that NLR is a potential biological marker of inflammation in several diseases and can be a useful predictive tool for post-operative pain resulted from inflammatory pathways secondary to surgical trauma [20], [21], [22]. NLR is an easily calculated and inexpensive marker in daily clinical practice.…”

Section: Discussionmentioning

confidence: 99%

“…Turgut et al [22] retrospectively evaluated the predictive role of pre-operative NLR and post-operative pain in 140 patients who underwent orthognathic surgery. They reported that the analgesic demand with NLR ≥2 correlates with increased post-operative pain, which is consistent with the results of our study.…”

Section: Discussionmentioning

confidence: 99%

Pre-operative Neutrophil-to-Lymphocyte Ratio is Associated with Post-operative Opioid Requirements and Length of Stay after Thoracotomy

Suranadi¹,

Senapathi²,

Wisnawa³

et al. 2020

Open Access Maced J Med Sci

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BACKGROUND: Surgical pain and prolonged hospital length of stay (LOS) affect a large proportion of patients after thoracotomy. Inflammation plays a crucial role in the mechanism and progression of pain and the outcomes. AIM: The objective of this study was to investigate the association between the pre-operative neutrophil-to-lymphocyte ratio (NLR) and post-operative pain and LOS in patients undergoing thoracotomy. METHODS: This was a retrospective, observational study on 157 patients who underwent thoracotomy under general anesthesia. We classified the subjects into two study groups: Group with for patients with NLR <2 and Group 2 for NLR ≥2. We measured the post-operative pain by gathering the data of post-operative opioid needs. We used Pearson’s and Spearman’s correlation tests to assess the association of the parameters. RESULTS: The mean of total oral morphine equivalent in the first 48 h following thoracotomy in Group 1 was 140.8 ± 60.4 mg compared to Group 2’s 109.7 ± 55.8 (p < 0.05). The median hospital’s LOS was longer in Group 2 compared to Group 1 (7 vs. 10, p < 0.001). We found a weak positive correlation between pre-operative NLR (R = 0.267, p = 0.002) and post-operative opioid requirements, and a weak positive correlation between pre-operative NLR and the hospital’s LOS (R = 0.345, p < 0.001). CONCLUSION: Pre-operative NLR correlates with post-operative opioid requirements and the time hospital’s LOS in patients who underwent elective thoracotomy.

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“…Preoperatif dönemde NLO≥2 olarak hesaplanan hastalarda, postoperatif analjezik gereksiniminin daha fazla olduğu belirlenmiştir. 22 Çalışmamızda da bu sonuçlara benzer olarak, preoperatif dönemde NLO >2 olan hastalarda portoperatif dönemde VAS değerleri daha fazla bulunmuşve toplam analjezik süresi de daha kısa hesaplanmıştır.…”

Section: Tartişma Ve Sonuçunclassified

Effects of Neutrophil/Lymphocyte Ratio on Postoperative Pain in Shoulder Arthroscopy Patients

Şıvgın¹,

Dikmen²,

Orhan³

et al. 2017

Turkiye Klinikleri J Anest Reanim

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Neutrophil lymphocyte ratio predicts postoperative pain after orthognathic surgery

Cited by 17 publications

References 2 publications

Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period

Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period

Pre-operative Neutrophil-to-Lymphocyte Ratio is Associated with Post-operative Opioid Requirements and Length of Stay after Thoracotomy

Effects of Neutrophil/Lymphocyte Ratio on Postoperative Pain in Shoulder Arthroscopy Patients

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