TY - BOOK AU - Kausar Abulkashem Faiz Ali AU - Ahmed Ramadan Mohamed , AU - Mahmoud Mohammad Magdy , AU - Tamer Mahmoud Elbaz , TI - Neutrophil/lymphocyte ratio (NLR) as a predictor of mortality in critically ill cirrhotic patients / PY - 2018/// CY - Cairo : PB - Kausar Abulkashem Faiz Ali , KW - Cirrhosis KW - ICU KW - Neutrophil to lymphocyte ratio(NLR) N1 - Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Tropical Medicine; Issued also as CD N2 - Introduction & aim: The neutrophil-to-lymphocyte ratio (NLR) is a novel inflammation score that has been shown to predict poor clinical outcomes. The aim of our study is to explore the utility of NLR as a predictor of 28 days of short-term mortality in critically ill cirrhotic patients. Patients and methods: This is a prospective observational cohort study in which 50 critically ill cirrhotic patients admitted in the intensive care unit (ICU) without hepatocellular carcinoma were enrolled between December 2017 and June 2018. NLR in comparison with CTP, MELD, SOFA,APACHE II scores was assessed for the prediction of mortality. Results: There were 32 male and 18 femalepatients, their mean is age 57.8±11.3 years. The etiologies of liver cirrhosis included HCV infection (n=38), HBV (2), AIH (3), NASH (1), Wilson disease (1) and cryptogenic (5). The mean follow up duration is 28 days, during which 28 patients died (56%). The mean NLRs were 16.23±12.06 and 20.1±22.15 in non-surviving and surviving patients respectively (p value=0.536). NLR score was found significant in correlation with MELD score (p value = 0.002). Conclusion:In our study, the lower level of NLR correlated with the mortality of the patientsand there was a significant correlation in between NLR score and MELD score ER -