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Platelet, Neutrophil and Lymphocyte Quantitative Abnormalities in Patients with Heart Failure: A Retrospective Study

Vascular health and risk management, 2023-02, Vol.19, p.69-78 [Peer Reviewed Journal]

2023 Getawa and Bayleyegn. ;COPYRIGHT 2023 Dove Medical Press Limited ;2023 Getawa and Bayleyegn. 2023 Getawa and Bayleyegn. ;ISSN: 1178-2048 ;ISSN: 1176-6344 ;EISSN: 1178-2048 ;DOI: 10.2147/VHRM.S394765 ;PMID: 36776273

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  • Title:
    Platelet, Neutrophil and Lymphocyte Quantitative Abnormalities in Patients with Heart Failure: A Retrospective Study
  • Author: Getawa, Solomon ; Bayleyegn, Biruk
  • Subjects: Adult ; Analysis ; Blood Platelets ; Cardiac patients ; Care and treatment ; Cross-Sectional Studies ; Female ; Heart failure ; Heart Failure - diagnosis ; Heart Failure - epidemiology ; Heart Failure - etiology ; Humans ; Inflammation ; lymphocyte ; Lymphocytes ; lymphocytosis ; Lymphocytosis - complications ; Male ; Medical records ; neutrophil ; neutrophilia ; Neutrophils ; Original Research ; platelet ; Prognosis ; Retrospective Studies ; thrombocytopenia ; Thrombocytopenia - complications
  • Is Part Of: Vascular health and risk management, 2023-02, Vol.19, p.69-78
  • Description: Heart failure pathophysiology and its clinical symptoms are characterized by inflammation. Elevated levels of leukocyte subpopulations are a well-known indicator of inflammation and play a predictive role in determining the prognosis of patients with cardiovascular diseases. Besides, platelets are essential mediators of inflammation, especially when they interact with leukocytes. Platelet synthesis, activation, and function are all impacted by heart failure. Thus, the study was aimed at determining the magnitude of platelet, neutrophil, and lymphocyte abnormalities in patients with heart failure. A retrospective cross-sectional study was conducted from June to July 2022 at the University of Gondar comprehensive specialized hospital. A total of 245 medical records of heart failure patients were included. Data regarding socio-demographic, clinical, and some hematological and biochemical parameters were collected from medical records. Data was entered into Epi-Data 4.6.0.2 and then exported to Stata 11.0 statistical software for analysis. A binary logistic regression analysis with its odds ratio was calculated to identify factors associated with the outcome variables. P-value <0.05 was considered statistically significant. The most frequent leukocyte abnormality among adults with heart failure was neutrophilia, which was detected in 17.55% (95% CI: 13.26-22.87). Besides, lymphocytosis was observed in 10.20% (95% CI: 6.97-14.70) of patients. The magnitude of thrombocytopenia and thrombocytosis among patients with heart failure was 12.24% (95% CI: 8.67-17.01%) and 2.86% (95% CI: 1.36-5.90%), respectively. Only being female was significantly associated with neutrophilia in patients with heart failure (AOR = 2.33; 95% CI: 1.05-5.16). However, none of the variables were significantly associated with platelet and lymphocyte abnormalities. Neutrophilia, lymphocytosis, and thrombocytopenia are the common leukocyte and platelet abnormalities in heart failure patients. Therefore, early detection and management of the underlying causes of those abnormalities may be important to improve patients' outcomes and prevent further complications.
  • Publisher: New Zealand: Dove Medical Press Limited
  • Language: English
  • Identifier: ISSN: 1178-2048
    ISSN: 1176-6344
    EISSN: 1178-2048
    DOI: 10.2147/VHRM.S394765
    PMID: 36776273
  • Source: Open Access: PubMed Central
    Geneva Foundation Free Medical Journals at publisher websites
    AUTh Library subscriptions: ProQuest Central
    MEDLINE
    DOAJ Directory of Open Access Journals
    Dove Press Free
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