Efficacy of preoperative lymphocyte/C-reactive protein ratio combined with HALP score in the prognosis of cases with persistent atrial fibrillation undergoing radiofrequency ablation
Objective To evaluate the efficacy of preoperative lymphocyte/C-reactive protein ratio (LCR) combined with hemoglobin-albumin-lymphocyte-platelet (HALP) score in the prognosis of cases with persistent atrial fibrillation (AF) after radiofrequency ablation.Methods A total of 102 cases with persistent atrial fibrillation who underwent radiofrequency ablation at Inner Mongolia Autonomous Region People's Hospi-tal from September 2020 to August 2023 were selected and divided into a recurrence group (24 cases) and a non recurrence group (78 cases) based on postoperative recurrence.Measurement data were described Using (x±s) and analyze with a t-test,while count data were described in n(％),and analyzed using x2 inspection.Receiver operating characteristic (ROC) curve was used to evaluate the predictive value of preoperative LCR and HALP scores in cases with persistent atrial fibrillation after radiofrequency ablation.Factors affecting recurrence in cases with persistent atrial fibrillation after radiofrequency ablation were explored through binary logistic stepwise re-gression analysis.Results The preoperative LCR and HALP scores of the recurrent group were higher than those of the non recurrent group,and the difference was statistically significant (P<0.05).The area under the curve (AUC) of preoperative LCR,HALP score,and their combined prediction for recurrence after radiofre-quency ablation in patients with persistent atrial fibrillation were 0.837,0.759,and 0.904,respectively.The pro-portion of women in the recurrent group and the history of hypertension were higher than those in the non recur-rent group,and the BMI,disease duration,and LAD were higher than those in the non recurrent group,with sta-tistically significant differences (P<0.05).Binary logistic stepwise regression analysis showed that long disease course,history of hypertension,increased LAD,low preoperative LCR levels,and low preoperative HALP score were independent risk factors for postoperative recurrence in patients with persistent atrial fibrillation (P<0.05).Conclusion Low preoperative LCR levels and HALP scores are closely related to the recurrence of cases after radiofrequency ablation.They can be used as important indicators to predict the recurrence of patients.
Persistent atrial fibrillationRadio frequency ablationLCRHALP
万方数据
维普
