The relationship between neutrophil lymphocyte ratio, platelet lymphocyte ratio, and depression in dialysis patients

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dc.authorid0000-0003-0440-1146
dc.authorwosidJDD-2678-2023
dc.authorwosidAAE-3750-2019
dc.contributor.authorTutan, Duygu
dc.contributor.authorErdoğan Kaya, Ayşe
dc.contributor.authorEser, Barış
dc.date.accessioned2023-11-28T11:32:04Z
dc.date.available2023-11-28T11:32:04Z
dc.date.issued2023en_US
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractChronic kidney disease is a worldwide public health issue with rising incidence, morbidity/mortality, and cost. Depression and chronic renal disease often coexist, and psychological illnesses are associated with poor results. Early identification of depression reduces morbidity and death. Neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) are reported as practical biomarkers of inflammation and immune system activation. In this study, we aimed to determine the association of NLR and PLR with depression in dialysis patients. This study included 71 adults over 18 without known hematologic or oncologic disease, drug use, or chronic inflammatory diseases. Comorbid chronic diseases, laboratory data, and Beck depression inventory scores were prospectively recorded. A comparison of 2 groups according to the existence of depression was made, and a binomial logistic regression test was used to determine the association between the variables and the presence of depression after adjusting for confounding factors. A receiver operating curve analysis was used to differentiate groups with and without severe depression. Seventy-one patients met the study criteria, with 46 hemodialysis and 25 peritoneal dialysis patients. The majority had hypertension and diabetes mellitus, with 47.89% having minimal-minor depression and 52.11% having moderate-major depression. The 2 groups were similar regarding chronic diseases, with no significant differences in serum creatinine levels, glucose, lipid profiles, or electrolytes. However, when the NLR of the 2 groups was compared, the median was higher in patients with moderate or major depression. Multivariate analysis showed no significant differences between the groups in PLR, triglyceride to glucose ratio, and C-reactive peptide to albumin ratio. The best NLR cutoff value was 3.26, with 48.6% sensitivity, 88.2% specificity, 81.8% positive predictive value, 61.2% negative predictive value, and 67.6% test accuracy. Depression is one of the most common psychiatric conditions in dialysis patients and is linked to increased morbidity, mortality, treatment failure, expense, and hospitalization. NLR helped predict moderate-to-major depression in dialysis patients, even after controlling for confounding factors in multivariate analysis. This study indicated that an NLR successfully identified depressive groups, and patients with an NLR value >3.26 were 6.1 times more likely to have moderate or major depression. Abbreviations: CAR = C-reactive peptide to albumin ratio, CI = confidence interval, CKD = chronic kidney disease, CRP = C-reactive peptide, NLR = neutrophil to lymphocyte ratio, PDW = platelet distribution width, PLR = platelet to lymphocyte ratio, ROC = receiver operating curve, TSH = thyroid stimulant hormone, TyG = triglyceride to glucose ratio, WBC = white blood cell count
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dc.identifier.citationTutan, D., Kaya, A. E., & Eser, B. (2023). The relationship between neutrophil lymphocyte ratio, platelet lymphocyte ratio, and depression in dialysis patients. Medicine, 102(37), e35197.
dc.identifier.issue37en_US
dc.identifier.pmid37713848
dc.identifier.scopusqualityN/A
dc.identifier.urihttp://dx.doi.org/10.1097/MD.0000000000035197
dc.identifier.urihttps://hdl.handle.net/11491/8716
dc.identifier.volume102en_US
dc.identifier.wosWOS:001092474400009
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorEser, Barış
dc.language.isoen
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.relation.ispartofMEDICINE
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectChronic kidney diseaseen_US
dc.subjectDepressionen_US
dc.subjectDialysisen_US
dc.subjectNeutrophil-lymphocyte ratioen_US
dc.titleThe relationship between neutrophil lymphocyte ratio, platelet lymphocyte ratio, and depression in dialysis patients
dc.typeArticle

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