Impact of the HALP Score on Long-Term Mortality among Patients Undergoing EVAR

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dc.authoridMehmet Altunova / 0000-0001-5351-5022
dc.authoridAli Evsen / 0000-0002-3780-7137
dc.authoridYusuf Demir / 0000-0001-9167-493X
dc.authoridTugba Aktemur / 0000-0002-5578-432X
dc.authoridOnur Erdogan / 0000-0002-5217-6425
dc.authoridSezgin Atmaca / 0000-0002-0103-5905
dc.authoridMehmet Köseoğlu / 0000-0002-5138-6367
dc.authoridNedim Uzun / 0000-0001-9593-5869
dc.authoridAnıl Sahın / 0000-0003-1956-2348
dc.authoridÖmer Çelik / 0000-0003-4768-5417
dc.authorwosidAnıl Sahın / MGP-9567-2025
dc.contributor.authorAltunova, Mehmet
dc.contributor.authorEvsen, Ali
dc.contributor.authorDemir, Yusuf
dc.contributor.authorAktemur, Tugba
dc.contributor.authorErdogan, Onur
dc.contributor.authorAtmaca, Sezgin
dc.contributor.authorKöseoğlu, Mehmet
dc.contributor.authorUzun, Nedim
dc.contributor.authorSahın, Anıl
dc.contributor.authorÇelik, Ömer
dc.date.accessioned2025-04-18T09:19:57Z
dc.date.available2025-04-18T09:19:57Z
dc.date.issued20.11.2024
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractIntroduction: 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.
dc.identifier.citationALTUNOVA, 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
dc.identifier.doi10.4274/imj.galenos.2024.87405
dc.identifier.endpage180
dc.identifier.issn2619-9793
dc.identifier.issue3
dc.identifier.startpage175
dc.identifier.trdizinid1280612
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1280612/impact-of-the-halp-score-on-long-term-mortality-among-patients-undergoing-evar
dc.identifier.urihttps://hdl.handle.net/20.500.12713/6759
dc.identifier.volume25
dc.identifier.wosWOS:001296714900001
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorSahın, Anıl
dc.institutionauthoridAnıl Sahın / 0000-0003-1956-2348
dc.language.isoen
dc.publisherFeray Akbaş
dc.relation.ispartofİstanbul Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.titleImpact of the HALP Score on Long-Term Mortality among Patients Undergoing EVAR
dc.typeArticle

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