Impact of the HALP Score on Long-Term Mortality among Patients Undergoing EVAR
Küçük Resim Yok
Tarih
20.11.2024
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Feray Akbaş
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Introduction: Endovascular aortic repair (EVAR) is commonly used for abdominal aortic aneurysms, but its mortality rate remains high. The hemoglobin, albumin, lymphocyte, and platelet (HALP) score, which measures hemoglobin, albumin, lymphocyte, and platelet levels, provides prognostic value by reflecting the nutritional status and systemic inflammation. This study aimed to explore the relationship between the HALP score upon admission and long-term mortality in patients with EVAR. Methods: Consecutive patients with EVAR at our tertiary center from October 2010 to August 2021 were retrospectively analyzed. HALP scores were calculated using the following formula: hemoglobin (g/L) × albumin (g/L) × lymphocyte count (/L)/platelet count (/L). In-hospital and long-term mortality data were extracted. Receiver operating characteristic curve analysis identified predictors of in-hospital mortality. Multivariate Cox regression analysis was performed to examine determinants of long-term mortality. Results: Among the 162 participants (mean age: 69.4±8.2 years, 90.1% male), the HALP score was the most significant predictor of inhospital mortality (area under the curve: 0.752, 95% confidence interval: 0.674-0.830; p<0.001). Multivariate Cox regression analysis revealed HALP (p=0.001) and C-reactive protein (p=0.004) as independent determinants of long-term mortality. Conclusion: This study is the first to investigate the association between the HALP score and in-hospital and long-term mortality in EVAR patients. The HALP score is a robust prognostic tool compared with its components and other parameters in this patient population.
Açıklama
Anahtar Kelimeler
Kaynak
İstanbul Medical Journal
WoS Q Değeri
Scopus Q Değeri
Cilt
25
Sayı
3
Künye
ALTUNOVA, M., EVSEN, A., DEMIR, Y., AKTEMUR, T., ERDOGAN, O., ATMACA, S., KÖSEOĞLU, M., UZUN, N., SAHIN, A., ÇELIK, O. (2024). Impact of the HALP Score on Long-Term Mortality among Patients Undergoing EVAR. İstanbul Medical Journal , 25(3), 175 - 180. doi.org/10.4274/imj.galenos.2024.87405
