The Predictive Role of Lymphocyte-to-Monocyte Ratio in Acute Kidney Injury in Acute Debakey Type I Aortic Dissection

• DOI: 10.3389/fsurg.2021.704345
• Publication Date: 2021-08-11T05:21:36Z
• Authors: Xiaochun Ma; Shanghao Chen; Yan Yun; Diming Zhao; Jinzhang Li; Zezhong Wu; Yanwu Liu; Hechen Shen; Huibo Ma; Zhengjun Wang; Chengwei Zou; Haizhou Zhang
• Keywords: predictive model; 03 medical and health sciences; 0302 clinical medicine; acute kidney injury; risk factor; RD1-811; lymphocyte-to-monocyte ratio; Surgery; acute Debakey type I aortic dissection; 3. Good health

Background: The post-operative acute kidney injury (AKI) represents a common complication in the Acute Debakey Type I Aortic Dissection (ADTIAD) and predicts poorer prognosis. clinical evidence is scarce supporting predictive value of pre-operative lymphocyte-to-monocyte ratio (LMR) AKI ADTIAD. Methods: In this retrospective cohort study, 190 consecutive patients with ADTIAD enrolled for surgical treatment between January 1, 2013, December 31, 2018. diagnosis followed Kidney Disease: Improving Global Outcomes guidelines (KDIGO). Pre-operative LMR other possible risk factors were analyzed their prognostic Results: subjects assigned to low-LMR high-LMR groups according median LMR. For AKI, incidence severity group statistically different from that group. Besides, lower was associated more extended ICU stay intubation time higher incidences ischemic stroke in-hospital mortality. Additionally, multivariable analysis, an independent predictor A model established incorporating Conclusions: indicator incorporated into predict