The Relationship between Neutrophil-Lymphocyte Ratios with Nutritional Status, Risk of Nutritional Indices, Prognostic Nutritional Indices and Morbidity in Patients with Ischemic Stroke

• Published in: Nutrients Vol. 16; no. 8; p. 1225
• Main Authors: Misirlioglu, Naile Fevziye, Uzun, Nedim, Ozen, Gulenay Defne, Çalik, Mustafa, Altinbilek, Ertugrul, Sutasir, Necmettin, Baykara Sayili, Sena, Uzun, Hafize
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 20-04-2024; MDPI
• Subjects: Acute coronary syndromes; Aged; Aged, 80 and over; Atherosclerosis; Cardiovascular disease; Cholesterol; Chronic illnesses; controlling nutritional status; Development and progression; Emergency medical care; Ethylenediaminetetraacetic acid; Etiology; Female; Health aspects; Hospitals; Humans; Inflammation; Ischemia; ischemic stroke; Ischemic Stroke - blood; Ischemic Stroke - mortality; Kidney diseases; Lymphocyte Count; Lymphocytes; Male; Malnutrition; Medical research; Medicine, Experimental; Middle Aged; Mortality; Neutrophils; neutrophil–lymphocyte ratio; Nutrition Assessment; nutritional risk index; Nutritional Status; Prognosis; prognostic nutritional index; Proteins; Quality control; Retrospective Studies; Risk Factors; Stroke; Stroke patients; systemic immune inflammation index; Trauma; Germany; controlling nutritional status; prognostic nutritional index; systemic immune inflammation index; neutrophil–lymphocyte ratio; ischemic stroke; nutritional risk index
• ISSN: 2072-6643; 2072-6643
• DOI: 10.3390/nu16081225

In recent years, whole blood parameters and derivatives have been used as prognostic criteria in the course of various diseases. The aim of this study was to evaluate the relationship between parameters such as the neutrophil-lymphocyte ratio (NLR), the systemic immune-inflammation index (SII), the prognostic nutritional index (PNI), controlling nutritional status (CONUT) score, nutritional risk index (NRI) and immunonutrition status and disease activity in patients with ischemic stroke of the small-vessel, large-vessel and other etiologies.
We retrospectively evaluated the records of 1454 consecutive ischemic stroke patients hospitalized in the emergency department of Gaziosmanpasa Education and Research Hospital from 2019 to 2023.
Of the 1350 patients with ischemic stroke included in the study, 58.8% had small-vessel disease, 29.3% had large-vessel disease and 11.9% had other etiologies. There was a significant difference between the three etiology groups for PNI and CONUT. The mean of PNI was 47.30 ± 8.06 in the other etiology group, 37.25 ± 7.23 in the small-vessel group, and 34.78 ± 8.16 in the large-vessel disease group. The mean of CONUT was 5.49 ± 1.20 in the small-vessel group, 5.12 ± 1.46 in the large-vessel group and 4.22 ± 1.11 in the other etiology group. In addition, CONUT and PNI were also found to be independent risk factors for mortality. A negative significant correlation was observed between PNI and NLR (r: -0.692), SII (r: -0.591), and CONUT (r: -0.511). Significant correlations were observed between CONUT and NLR (r: 0.402), SII (r: 0.312).
PNI, CONUT and NRI were found as more accurate prognostic indicators of nutritional status in patients with ischemic stroke. NLR and SII may be important predictive markers in the course and prognosis of stroke.