Investigate the relationship between hemoglobin-albumin-lymphocyte-platelet score and systemic inflammatory response syndrome after transurethral resection of benign prostatic hyperplasia in elderly patients
Objective To evaluate the validity and reliability of the hemoglobin-albumin-lymphocyte-platelet(HALP)score in predicting the systemic inflammatory response syndrome(SIRS)after transurethral resection of benign prostatic hyperplasia(BPH)in the elderly.Methods 100 elderly patients with benign prostatic hyperplasia admitted to the First People's Hospital of Chuzhou from January 2021 to December 2022 were collected retrospectively.The clinical data were collected by the electronic medical record system and divided into SIRS group(n=14)and no SIRS group(n=86)according to whether the patients had SIRS after surgery.Multivariate Logistic regression analysis of the factors of SIRS after ECT,ROC curve analysis of HALP score and single index to predict the value of SIRS after elderly ECT.Results The preoperative IPSS score,hemoglobin,albumin,platelet,and HALP scores were significantly between SIRS group and no SIRS group(P＜0.05).The multivariate Logistic regression analysis showed that,Preoperative IPSS score[OR=1.633,95％CI(1.330,2.005)],hemoglobin[OR=0.708,95％CI(0.617,0.812)],Albumin[OR=0.740,95％CI(0.645,0.849)],platelet[OR=0.949,95％CI(0.929,0.970)],HALP score[OR=0.723,95％CI(0.627,0.835)]were all independent predictors of short-term postoperative SIRS(P＜0.001).The ROC curve analysis revealed that,HALP score has higher predictive power than a single indicator,The AUC was 0.881,A sensitivity of 0.923,The atality was 0.743,The Youden Index was 0.666,The optimal threshold value was 34.53 points.Conclusion HALP score may be used as a useful tool to help predict the risk of systemic inflammatory response syndrome in elderly patients with benign prostatic hyperplasia after TURP.
Benign prostatic hyperplasiaTransurethral resection of prostateHemoglobinAlbuminLymphocytePlateletsSystemic inflammatory response syndrome
万方数据
维普
