Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML)
Vol 27, No 1 (2020)

Analysis of Pre-and Post-operative Neutrophil Lymphocyte Ratio and Platelet Lymphocyte Ratio in Acute Kidney Injury After Coronary Artery Bypass Grafting Surgery

Lonasis Cabuslay (Department of Clinical Pathology, Faculty Medicine, Hasanuddin University/Dr. Wahidin Sudirohusodo Hospital, Makassar)
Lopa AT (Department of Clinical Pathology, Faculty Medicine, Hasanuddin University/Dr. Wahidin Sudirohusodo Hospital, Makassar/Tadjuddin Chalid General Hospital, Makassar)
Wibawa SY (Department of Clinical Pathology, Faculty Medicine, Hasanuddin University/Dr. Wahidin Sudirohusodo Hospital, Makassar/Tadjuddin Chalid General Hospital, Makassar/Stella Maris General Hospital, Makassar)
Rauf DE (Department of Clinical Pathology, Faculty Medicine, Hasanuddin University/Dr. Wahidin Sudirohusodo Hospital, Makassar/Faisal Islamic Hospital, Makassar)



Article Info

Publish Date
07 Dec 2020

Abstract

Acute Kidney Injury (AKI) remains a common complication of post-operative Coronary Artery Bypass Grafting (CABG)related to high morbidity and mortality. Systemic inflammation has been known as a part of the pathogenesis of acute kidneyinjury. This study aimed to analyze the Neutrophil Lymphocyte (N/L) ratio and Platelet Lymphocyte (P/L) ratio in post-operativeAKI. This research was a retrospective study involving 76 patients who underwent CABG surgery in Dr. Wahidin SudirohusodoCentral Hospital, Makassar, between January 2015 and May 2019. The diagnosis of AKI was based on Kidney Disease ImprovingGlobal Outcomes (KDIGO) 2012 criteria. The N/L ratio and P/L ratio were calculated respectively as a neutrophil count ratio tolymphocyte count and platelet count to lymphocyte count. Twenty-five (32.9%) patients developed AKI in the first 48 hours ofthe post-operative period. There was no difference in pre-operative N/L ratio and the P/L ratio between AKI and non-AKIgroups (p > 0.05). Both ratios increased after surgery and were significantly different between the two groups with higher meanratio in non-AKI (16.93±9.16 vs. 21.86±11.13, p=0.040 and 239,24±184,36 vs. 314,49±143,73, p=0.011). Both pre-operativeand post-operative N/L ratio and P/L ratio could not distinguish AKI after CABG.

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Journal Info

Abbrev

patologi

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience

Description

Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) is a journal published by “Association of Clinical Pathologist” professional association. This journal displays articles in the Clinical Pathology and Medical Laboratory scope. Clinical Pathology has a couple of ...