Correlation of Operative Mortality and Morbidity With Preoperative C-Reactive Protein/Albumin Ratio, Neutrophil/Lymphocyte Ratio, and Prognostic Nutritional Index in Patients Undergoing Emergent Operations Due to Strangulation Ileus

Emergent surgery is necessary in patients with strangulation ileus. However, such procedures are associated high morbidity and mortality. A retrospective analysis was performed to determine whether the preoperative C-reactive protein/albumin ratio (CAR); neutrophil/lymphocyte (NLR); prognostic nutritional index (PNI) good indicators of mortality or undergoing emergent operations for treatment 1698 at Tottori Prefectural Central Hospital from 2012 2015. Among them, 45 (2.7%) were preoperatively diagnosed We evaluated clinical importance CAR, NLR, PNI these patients. excluded pediatric this study. Postoperative complications developed 14 (31.1%) The mean postoperative hospital stay among significantly longer than that 31 without (44.0 versus 11.3 days, respectively; P = 0.006). Three died complications. overall operative rates 6.7% 31.1%, respectively. found strong correlations older age, a operation time, an abnormal PNI. Not only inflammation, but also patients' immune status appear be strongly correlated after Patients CAR NLR low must closely monitored occurrence as surgical site infections pulmonary