Which Is the Best Inflammatory Index in Bell’s Palsy?

Abstract

Objective: This study aims to analyze previously suggested hematological markers in addition to the systemic inflammation response index (SIRI) and the aggregate index of systemic inflammation (AISI) in patients with Bell’s palsy (BP) and to identify the most important hematologic inflammatory marker among them. Material and Methods: The study consisted of 87 patients with BP who were between the ages of 18 and 65. Sixty-three healthy controls with similar age and sex distribution were assembled. A retrospective examination was done on the patient and control group files. House Brackmann grading system stage at the admission of patients with BP was recorded. Routine complete blood count values obtained from the patients at the time of admission and before the start of treatment were recorded. The systemic immune-inflammatory index (SII), the neutrophil-to-lymphocyte ratio (NLR), the platelet-to-lymphocyte ratio (PLR), the monocyte-to-lymphocyte ratio (MLR), SIRI, and AISI were all generated from these values. Results: There were 39 (44.8%) men, 48 (55.2%) women in the BP group, and 34 (54.0%) men and 29 (46.0%) women in the control group. The patient group had substantially increased neutrophil, white blood cell, NLR, PLR, SII, SIRI, and AISI levels (P values: 0.001, 0.001, 0.001, 0.033, 0.001, 0.001, and 0.001, respectively). NLR, PLR, SII, SIRI, and AISI values were lower in Receiver Operating Characteristics curves (ROC) analysis than neutrophil the areas under the curves (AUC) values. Conclusion: Neutrophil count was found to be more valuable than other inflammatory indexes in the diagnosis of BP.

Keywords

• Bell’s palsy
• hematologic parameters
• inflammatory indexes

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