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Evaluation Of The Role Of Complete Blood Count Indices To Predict The Risk Of Pre-Eclampsia

Year 2016, Volume: 13 Issue: 3, 99 - 102, 01.07.2016

Abstract

Aim: To compare the complete blood count CBC indices in the mild preeclamptic, severe preeclamptic and healthy normotensive pregnant women to evaluate whether these parameters have a predictive and prognostic significance in determining the risk and the severity of preeclampsia PE .Material and Methods: A retrospective case-control study was designed including the patient population n= 187 composed of 39 % 19.7 severe PE, 55 % 27.8 mildPE, 104 % 52.5 healthy normotensive singleton pregnant women for controls. The hematocrit Hct , hemoglobin Hb , leukocyte count, platelet count PC , mean platelet volume MPV , platelet distribution width PDW , PC/MPV ratio, systemic inflammatory markers including neutrophil/lymphocyte ratio NRL , platelet/lymphocyte ratio PRL , platelet/ neutrophil PRN ratio were recorded.Results: In comparison of the preeclamptic patients with controls; there was statistically significant difference in MPV p=0.012, p

References

  • American College of Obstetricians and Gynecologists ‘Taske Force on Hypertension in Pregnancy’. Hipertension in pregnancy. Obstet Gynecol 2013;122:1122–31.
  • Hutcheon JA, Lisonkova S, Joseph KS. Epidemiology of pre-eclampsia and other hypertensivedis orders of pregnancy. Best Pract Res Clin Obs- tet Gynaecol 2011;25: 391–403.
  • Burton GJ, Charnock-Jones DS, Jauniaux E. Regulation of vascular growth and function in the human placenta. Reproduction 2009;138:895–902.
  • Burton GJ, Woods AW, Jauniaux E, Kingdom JC. Rheological and physiological consequences of conversion of the maternal spiral ar- teries for uteroplacental blood flow during human pregnancy. Placenta 2009;30:473–82.
  • Burton GJ, Woods AW, Jauniaux E, Kingdom JC. Rheological and physiological consequences of conversion of the maternal spiral ar- teries for uteroplacental blood flow during human pregnancy. Placenta 2009;30:473–82.
  • Dekker GA, Sibai BM. Etiology and pathogenesis of preeclampsia: cur- rent concepts. Am J Obstet Gynecol. 1998; 179:1359–1375.
  • Barden A, Graham D, Beilin LJ, et al. Neutrophil CD11B expression and neutrophil activation in pre-eclampsia. Clin Sci (Lond). 1997; 92:37–44.
  • Greer IA, Dawes J, Johnston TA, et al. Neutrophil activation is confined to the maternalcirculation in pregnancy-induced hypertension. Obstet Gynecol. 1991; 78:28–32.
  • Tsukimori K, Maeda H, Ishida K, Nagata H, Koyanagi T, Nakano H. The superoxide generation of neutrophils in normal and preeclamptic preg- nancies. Obstet Gynecol. 1993; 81:536–540.
  • Redman CWG, Sacks GP, Sargent IL. Preeclampsia: an excessive mater- nal inflammatory response to pregnancy. Am J Obstet Gynecol. 1999; 180:499–506.
  • Taylor, RN.; Roberts, JM. Endothelial cell dysfunction. In: Lindheimer, MD.; Roberts, JM.; Cunningham, FG., editors. Hypertensive Disorders in Pregnancy. 2nd ed.Stamford, CT: Appleton&Lange; 1999. p. 395-429.
  • Celikbilek M, Dogan S, Ozbakır O, Zararsız G, Kücük H, Gürsoy S, et al. Neutrophil-lymphocyte ratio as a predictor of disease severity in ulcerati- ve colitis. J ClinLab Anal 2013; 27: 72-6.
  • Imtiaz F, Shafique K, Mirza SS, Ayoob Z, Vart P, Rao S. Neutrophil lymp- hocyte ratio as a measure of systemic inflammation in prevalent chronic diseases in Asian population. Int Arch Med 2012; 5: 2.
  • Tousoulis D, Antoniades C, Koumallos N, Stefanadis C. Proinflammatory cytokines in acute coronary syndromes: from bench to bedside. Cytoki- ne Growth Factor Rev 2006; 17: 225-33.
  • Zahorec R. Ratio of neutrophil to lymphocyte counts—Rapid and simple parameter of systemic inflammation and stress in critically ill. Bratisl Lek Listy 2001; 102: 5-14.
  • Proctor MJ, Morrison DS, Talwar D, Balmer SM, Fletcher CD, O’Reilly DS, et al. A comparison of inflammation-based prognostic scores in pa- tients with cancer. A Glasgow Inflammation Outcome Study. Eur J Cancer 2011; 47: 2633-41.
  • Juan P, Stefano G, Antonella S, Albana C. Platelets in pregnancy. J Prenat Med 2011;5:90–2.
  • Tzur T, Sheiner E. Is there an association between platelet count during the first trimester and preeclampsia or other obstetric complications later in pregnancy? Hypertens Pregnancy 2013;32:74–82.
  • Canzoneri BJ, Lewis DF, Groome L, Wang Y. Increased neutrophil num- bers account for leukocytosis in women with preeclampsia. Am J Peri- natol. 2009;26:729-32.
  • Yavuzcan A, Cağlar M, Ustün Y, Dilbaz S, Ozdemir I, Yildiz E, Ozbilgeç S, Kumru S. Mean platelet volume, neutrophil-lymphocyte ratio and plate- let-lymphocyteratio in severe preeclampsia. Ginekol Pol. 2014;85:197- 203.
  • Järemo P, Lindahl TL, Lennmarken C, Forsgren H. The use of platelet den- sity and volume measurements to estimate the severity of pre-eclampsia. Eur J Clin Invest. 2000;30:1113-8.
  • Boriboonhirunsarn D, Atisook R, Taveethamsathit T. Mean platelet volu- me of normal pregnant women and severe preeclamptic women in Siriraj Hospital. J Med Assoc Thai 1995;78:586–9.
  • Dundar O, Yoruk P, Tutuncu L, et al. Longitudinal study of platelet size changes in gestation and predictive power of elevated MPV in develop- ment of preeclampsia. Prenat Diagn 2008;28:1052–6.
  • Hutt R, Ogunniyi SO, Sullivan MH, Elder MG. Increased platelet volume and aggregation precede the onset of preeclampsia. Obstet Gynecol 1994;83:146–9.
  • Ceyhan T, Beyan C, Başer I, et al. Theeffect of pre-eclampsia on comp- lete blood count, platelet count and mean platelet volume. Ann Hematol 2006;85:320–22.
  • Makuyana D, Mahomed K, Shukusho FD, Majoko F. Liver and kidney function tests in normal and pre-eclamptic gestation–a comparison with non-gestational reference values. Cent Afr J Med 2002;48:55–9.
  • Doğan K, Guraslan H, Senturk MB, Helvacioglu C, İdil S, Ekin M. Can Platelet Count and Platelet Indices Predict the Risk and the Prognosis of Preeclampsia? Hypertens Pregnancy. 2015;34:434-442.
  • RammaW , Buhimschi IA, Zhao G, Dulay AT, Nayeri UA, Buhimschi CS, Ahmed A. The elevation in circulating anti-angiogenic factors is independent of markers of neutrophil activation in preeclampsia. Angiogenesis. 2012;15:333-40.

Tam Kan Sayımı Parametrelerinin Pre-Eklampsi Riskini Öngörmedeki Rolünün Değerlendirilmesi

Year 2016, Volume: 13 Issue: 3, 99 - 102, 01.07.2016

Abstract

Amaç: Ağır preeklampsi, hafif preeklampsi ve sağlıklı gebelerde tam kan sayımı parametrelerini karşılaştırarak, bu parametrelerin preeklampsi tanısı ve şiddetini belirlemedeki önemini tespit etmeyi amaçladık.Gereç ve Yöntemler: Retrospektif vaka kontrollü olarak planlanan bu çalışmada; 39 % 19.7 u ağır preeklampsi, 55 % 27.8 i hafif preeklampsi ve 104 % 52.5 ü ise sağlıklı tekiz gebeden oluşan toplam 187 olgu çalışmaya dahil edildi. Hemoglobin Hb , hemotokrit Hct , trombosit sayısı, ortalama trombosit hacmi MPV , trombosit dağılım aralığı PDW , trombosit /MPV oranı, lökosit sayısı ile birlikte sistemik inflamatuar yanıt markırları olannötrofil/lenfosit NLO , trombosit/lenfosit TLO , trombosit /nötrofil TNO oranları kayıt altına alındı.Bulgular: Ağır ve hafif preeklampsi grupları arasında anlamlı farklılık tespit edilmezken, kontrol grubuyla karşılaştırıldığında, MPV preeklamptik grupta anlamlı derecede yüksek tespit edildi p=0.012, p

References

  • American College of Obstetricians and Gynecologists ‘Taske Force on Hypertension in Pregnancy’. Hipertension in pregnancy. Obstet Gynecol 2013;122:1122–31.
  • Hutcheon JA, Lisonkova S, Joseph KS. Epidemiology of pre-eclampsia and other hypertensivedis orders of pregnancy. Best Pract Res Clin Obs- tet Gynaecol 2011;25: 391–403.
  • Burton GJ, Charnock-Jones DS, Jauniaux E. Regulation of vascular growth and function in the human placenta. Reproduction 2009;138:895–902.
  • Burton GJ, Woods AW, Jauniaux E, Kingdom JC. Rheological and physiological consequences of conversion of the maternal spiral ar- teries for uteroplacental blood flow during human pregnancy. Placenta 2009;30:473–82.
  • Burton GJ, Woods AW, Jauniaux E, Kingdom JC. Rheological and physiological consequences of conversion of the maternal spiral ar- teries for uteroplacental blood flow during human pregnancy. Placenta 2009;30:473–82.
  • Dekker GA, Sibai BM. Etiology and pathogenesis of preeclampsia: cur- rent concepts. Am J Obstet Gynecol. 1998; 179:1359–1375.
  • Barden A, Graham D, Beilin LJ, et al. Neutrophil CD11B expression and neutrophil activation in pre-eclampsia. Clin Sci (Lond). 1997; 92:37–44.
  • Greer IA, Dawes J, Johnston TA, et al. Neutrophil activation is confined to the maternalcirculation in pregnancy-induced hypertension. Obstet Gynecol. 1991; 78:28–32.
  • Tsukimori K, Maeda H, Ishida K, Nagata H, Koyanagi T, Nakano H. The superoxide generation of neutrophils in normal and preeclamptic preg- nancies. Obstet Gynecol. 1993; 81:536–540.
  • Redman CWG, Sacks GP, Sargent IL. Preeclampsia: an excessive mater- nal inflammatory response to pregnancy. Am J Obstet Gynecol. 1999; 180:499–506.
  • Taylor, RN.; Roberts, JM. Endothelial cell dysfunction. In: Lindheimer, MD.; Roberts, JM.; Cunningham, FG., editors. Hypertensive Disorders in Pregnancy. 2nd ed.Stamford, CT: Appleton&Lange; 1999. p. 395-429.
  • Celikbilek M, Dogan S, Ozbakır O, Zararsız G, Kücük H, Gürsoy S, et al. Neutrophil-lymphocyte ratio as a predictor of disease severity in ulcerati- ve colitis. J ClinLab Anal 2013; 27: 72-6.
  • Imtiaz F, Shafique K, Mirza SS, Ayoob Z, Vart P, Rao S. Neutrophil lymp- hocyte ratio as a measure of systemic inflammation in prevalent chronic diseases in Asian population. Int Arch Med 2012; 5: 2.
  • Tousoulis D, Antoniades C, Koumallos N, Stefanadis C. Proinflammatory cytokines in acute coronary syndromes: from bench to bedside. Cytoki- ne Growth Factor Rev 2006; 17: 225-33.
  • Zahorec R. Ratio of neutrophil to lymphocyte counts—Rapid and simple parameter of systemic inflammation and stress in critically ill. Bratisl Lek Listy 2001; 102: 5-14.
  • Proctor MJ, Morrison DS, Talwar D, Balmer SM, Fletcher CD, O’Reilly DS, et al. A comparison of inflammation-based prognostic scores in pa- tients with cancer. A Glasgow Inflammation Outcome Study. Eur J Cancer 2011; 47: 2633-41.
  • Juan P, Stefano G, Antonella S, Albana C. Platelets in pregnancy. J Prenat Med 2011;5:90–2.
  • Tzur T, Sheiner E. Is there an association between platelet count during the first trimester and preeclampsia or other obstetric complications later in pregnancy? Hypertens Pregnancy 2013;32:74–82.
  • Canzoneri BJ, Lewis DF, Groome L, Wang Y. Increased neutrophil num- bers account for leukocytosis in women with preeclampsia. Am J Peri- natol. 2009;26:729-32.
  • Yavuzcan A, Cağlar M, Ustün Y, Dilbaz S, Ozdemir I, Yildiz E, Ozbilgeç S, Kumru S. Mean platelet volume, neutrophil-lymphocyte ratio and plate- let-lymphocyteratio in severe preeclampsia. Ginekol Pol. 2014;85:197- 203.
  • Järemo P, Lindahl TL, Lennmarken C, Forsgren H. The use of platelet den- sity and volume measurements to estimate the severity of pre-eclampsia. Eur J Clin Invest. 2000;30:1113-8.
  • Boriboonhirunsarn D, Atisook R, Taveethamsathit T. Mean platelet volu- me of normal pregnant women and severe preeclamptic women in Siriraj Hospital. J Med Assoc Thai 1995;78:586–9.
  • Dundar O, Yoruk P, Tutuncu L, et al. Longitudinal study of platelet size changes in gestation and predictive power of elevated MPV in develop- ment of preeclampsia. Prenat Diagn 2008;28:1052–6.
  • Hutt R, Ogunniyi SO, Sullivan MH, Elder MG. Increased platelet volume and aggregation precede the onset of preeclampsia. Obstet Gynecol 1994;83:146–9.
  • Ceyhan T, Beyan C, Başer I, et al. Theeffect of pre-eclampsia on comp- lete blood count, platelet count and mean platelet volume. Ann Hematol 2006;85:320–22.
  • Makuyana D, Mahomed K, Shukusho FD, Majoko F. Liver and kidney function tests in normal and pre-eclamptic gestation–a comparison with non-gestational reference values. Cent Afr J Med 2002;48:55–9.
  • Doğan K, Guraslan H, Senturk MB, Helvacioglu C, İdil S, Ekin M. Can Platelet Count and Platelet Indices Predict the Risk and the Prognosis of Preeclampsia? Hypertens Pregnancy. 2015;34:434-442.
  • RammaW , Buhimschi IA, Zhao G, Dulay AT, Nayeri UA, Buhimschi CS, Ahmed A. The elevation in circulating anti-angiogenic factors is independent of markers of neutrophil activation in preeclampsia. Angiogenesis. 2012;15:333-40.
There are 28 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Keziban Doğan

Ali Yeşil

Bülent Babaoğlu This is me

Levent Yaşar This is me

Publication Date July 1, 2016
Published in Issue Year 2016 Volume: 13 Issue: 3

Cite

Vancouver Doğan K, Yeşil A, Babaoğlu B, Yaşar L. Tam Kan Sayımı Parametrelerinin Pre-Eklampsi Riskini Öngörmedeki Rolünün Değerlendirilmesi. JGON. 2016;13(3):99-102.