The Association Between Peripheral Blood Neutrophil-to-Lymphocyte Ratio and Cirrhosis Complications in Adults with Compensated Liver Cirrhosis in Ahvaz, Iran

AuthorSeyed Jalal Hashemien
AuthorMohsen Shokrian Tosien
AuthorEskandar Hajianien
AuthorAbazar Parsien
AuthorPezhman Alavinejaden
OrcidSeyed Jalal Hashemi [0000-0002-7389-4717]en
OrcidMohsen Shokrian Tosi [0009-0001-9555-4975]en
OrcidEskandar Hajiani [0000-0002-1014-1996]en
OrcidAbazar Parsi [0000-0001-8833-8759]en
OrcidPezhman Alavinejad [0000-0001-6857-6151]en
Issued Date2023-08-31en
AbstractBackground: The neutrophil-to-lymphocyte ratio (NLR) is an inflammation biomarker in patients with liver cirrhosis. While increased NLR is linked to poor clinical outcomes and mortality in diseases like cancers, its association with cirrhosis complications has been sparsely examined. Objectives: This study aimed to evaluate the association between NLR and cirrhosis complications in patients with compensated liver cirrhosis. Methods: This retrospective cohort study was conducted on 256 patients with compensated liver cirrhosis visiting the Gastroenterology Clinic of Imam Khomeini Hospital, Ahvaz, Iran, in 2020. The peripheral blood lymphocyte and neutrophil counts were evaluated, and the NLR was calculated by dividing the absolute neutrophil count by the absolute lymphocyte count. Cirrhosis complications were assessed based on clinical and laboratory evaluation during 1 year of follow-up. Results: During the retrospective follow-up period, 59 patients (23.05%) experienced cirrhosis complications such as spontaneous bacterial peritonitis (n = 23), gastrointestinal bleeding (n = 22), and hepatic encephalopathy (n = 14). The baseline NLR, Model for End-Stage Liver Disease (MELD) score and Child-Pugh score were significantly higher in patients who later developed complications than in those who did not (P < 0.0001). The NLR with an optimal cut-off of > 1.95 had a sensitivity of 84.75% and specificity of 93.91% in predicting complications during the 1-year follow-up (AUC = 0.905, P < 0.0001). Conclusions: Our results indicated that the NLR is a simple, non-invasive, and cost-effective marker for predicting short-term complications in patients with compensated liver cirrhosis.en
DOIhttps://doi.org/10.5812/semj-138859en
KeywordNeutrophil-to-Lymphocyte Ratioen
KeywordLiver Cirrhosisen
KeywordInflammationen
KeywordComplicationsen
PublisherBrieflandsen
TitleThe Association Between Peripheral Blood Neutrophil-to-Lymphocyte Ratio and Cirrhosis Complications in Adults with Compensated Liver Cirrhosis in Ahvaz, Iranen
TypeResearch Articleen

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