Usefulness of Hemoglobin, Albumin, Lymphocyte and Platelet (HALP) Score in Determining the Need for Surgery in Ileus Patients in the Emergency Department
Hemoglobin, Albumin, Lymphocyte and Platelet (HALP) Score
DOI:
https://doi.org/10.5281/zenodo.10021051Keywords:
Emergency department, ileus, HALP scoreAbstract
Aim: To investigate the usefulness of HALP score (hemoglobin, albumin, lymphocyte and platelet) in determining the need for surgery in patients diagnosed with ileus in the emergency department.
Material and Method: Our study was designed retrospectively on patients diagnosed with ileus in the emergency department. HALP score was calculated from hemoglobin, albumin, lymphocyte and platelet values obtained from the patients within 24 hours. Patients were divided into two groups as operated and discharged with conservative treatment after hospitalization in the general surgery ward. The differences in HALP score between the two groups were analyzed.
Results: The study included 213 patients diagnosed with ileus in the emergency department. The mean age of the patients was 60.9±13.2 years and 121 (56.8%) were male. The number of patients discharged by general surgery with conservative treatment was 168 (78.9%) and 45 (21.1%) were operated on. It was found to be significant that patients discharged with conservative treatment had a higher HALP score than patients who underwent emergency surgery (p=0.007). In the study, diagnostic test performances of HALP score were calculated in patients who were discharged with conservative treatment and those who underwent surgery. Accordingly, it was determined that HALP score >0.369 predicted that there was no need for surgery.
Conclusion: Calculation of HALP score in patients diagnosed with ileus in the emergency department may be useful in predicting the need for surgery in patients.
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References
T.T. Irvin, Abdominal pain: a surgical audit of 1190 emergency admissions, Br J Surg, 76 (1989), pp. 1121-1125
Drozdz W, Budzynski P. Geçen yüzyılda mekanik barsak tıkanıklığı demografik ve etiyolojik kalıplarındaki değişiklik: bir sağlık kurumundan gözlemler. Arch Surg. 2012; 147 :175–180. [ PubMed ] [ Google Akademik ]
Nieuwenhuijzen M, Reijnen MM, Kuijpers JH, van Goor H. Total veya subtotal kolektomi sonrası ince bağırsak tıkanıklığı: 10 yıllık retrospektif inceleme. Br J Surg. 1998; 85 :1242–1245. [ PubMed ] [ Google Akademik ]
Leung AM, Vu H. İnce barsak obstrüksiyonunda cerrahi ihtiyacı ve gecikmeyi öngören faktörler. Ben cerrahım. 2012; 78 :403–407. [ PubMed ] [ Google Akademik ]
Cosse C, Regimbeau JM, Fuks D, Mauvais F, Scotte M. İnce bağırsak tıkanıklığı olan hastalarda konservatif yönetimin başarısızlığını ve bağırsak rezeksiyonu ihtiyacını öngörmek için serum prokalsitonin. J Am Coll Cerrah. 2013; 216 :997–1004. [ PubMed ] [ Google Akademik ]
Schraufnagel D, Rajaee S, Milham FH. Kaç gün batımı? Yapışkan ince barsak tıkanıklığında cerrahinin zamanlaması: Nationwide Yatan Hasta Örneği Çalışması. J Travma Akut Bakım Cer. 2013; 74 :181–187. [ PubMed ] [ Google Akademik ]
Keenan JE, Turley RS, McCoy CC, Migaly J, Shapiro ML, Scarborough JE. 3 günü aşan ameliyatsız tedavi denemeleri, komplike olmayan yapışkan ince barsak obstrüksiyonu nedeniyle ameliyat edilen hastalarda artan morbidite ile ilişkilidir. J Travma Akut Bakım Cer. 2014; 76 :1367–1372. [ PubMed ] [ Google Akademik ]
Sarr MG, Bulkley GB, Zuidema GD. İntestinal strangülasyon obstrüksiyonunun ameliyat öncesi tanınması. Teşhis yeteneğinin ileriye dönük değerlendirmesi. Ben J Surg. 1983; 145 :176–182.
Ahmet Akbas, Serhat Koyuncu, Nadir Adnan Hacım, Mehmet Fatih Dasiran, Zeliha Aydın Kasap, and Ismail Okan Can HALP (Hemoglobin, Albumin, Lymphocytes, and Platelets) Score Differentiate Between Malignant and Benign Causes of Acute Mechanic Intestinal Obstruction? Cancer Biotherapy and Radiopharmaceuticals 2022 37:3, 199-204
Child WA, Philips RB (1960) Experience with intestinal plication and a proposed modification. Ann Surg 152: 258–265
Lopez-Kostner F, Hool GR, Lavery IC (1997) Management and causes of acute large-bowel obstruction. Surg Clin North Am 77: 1265
Plusczyk, T., Bolli, M. & Schilling, M. Ileuskrankheit. Chirurg 77, 898–903 (2006). https://doi.org/10.1007/s00104-006-1237-9
Peng D, Zhang CJ, Tang Q, et al. Prognostic significance of the combination of preoperative hemoglobin and albumin levels and lymphocyte and platelet counts (HALP) in patients with renal cell carcinoma after nephrectomy. BMC Urol 2018; 18: 20.
Tian M, Li Y, Wang X, et al. The hemoglobin, albumin, lymphocyte, and platelet (HALP) score ıs associated with poor outcome of acute ıschemic stroke. Front Neurol 2021; 11: 610318.
Xu SS, Li S, Xu HX, et al. Haemoglobin, albumin, lymphocyte and platelet predicts postoperative survival in pancreatic cancer. World J Gastroenterol 2020; 26: 828-38.
de Almeida JP, Vincent JL, Galas FR, et al. Transfusion requirements in surgical oncology patients: a prospective, randomized controlled trial. Anesthesiology 2015; 122: 29-38.
Peng D, Zhang CJ, Gong YQ, et al. Prognostic significance of HALP (hemoglobin, albumin, lymphocyte and platelet) in patients with bladder cancer after radical cystectomy. Sci Rep 2018; 8: 794.
Feng JF, Wang L, Yang X. The preoperative hemoglobin, albumin, lymphocyte and platelet (HALP) score is a useful predictor in patients with resectable esophageal squamous cell carcinoma. Bosn J Basic Med Sc 2021; 21: 773-81.
Kocaoğlu S. , Alatlı T. The efficiency of HALP score, neutrophil-lymphocyte ratio, and platelet-lymphocyte ratio in predicting mortality in intensive care patients. J Health Sci Med / JHSM. 2022; 5(1): 201-206.
Kocaoglu S, Alatli T. The Efficiency of the HALP Score and the Modified HALP Score in Predicting Mortality in Patients with Acute Heart Failure Presenting to the Emergency Department. J Coll Physicians Surg Pak. 2022 Jun;32(6):706-711.
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