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Usefulness of the delta neutrophil index to predict 30-day mortality in patients with ST segment elevation myocardial infarction

 Taeyoung Kong  ;  Tae Hoon Kim  ;  Yoo Seok Park  ;  Sung Phil Chung  ;  Hye Sun Lee  ;  Jung Hwa Hong  ;  Jong Wook Lee  ;  Je Sung You  ;  Incheol Park 
 Scientific Reports, Vol.7(1) : 15718, 2017 
Journal Title
 Scientific Reports 
Issue Date
This study aimed to evaluate the association between the delta neutrophil index (DNI), which reflects immature granulocytes, and the severity of ST-elevation myocardial infarction (STEMI), as well as to determine the significance of the DNI as a prognostic marker for early mortality and other clinical outcomes in patients with STEMI who underwent reperfusion. This retrospective, observational cohort study was conducted using patients prospectively integrated in a critical pathway program for STEMI. We included 842 patients diagnosed with STEMI who underwent primary percutaneous coronary intervention (pPCI). Higher DNI values at time-I (within 2 h of pPCI; hazard ratio [HR], 1.075; 95% confidence interval [CI]: 1.046-1.108; p < 0.001) and time-24 (24 h after admission; HR, 1.066; 95% CI: 1.045-1.086; p < 0.001) were significant independent risk factors for 30-day mortality. Specifically, DNI values >2.5% at time-I (HR, 13.643; 95% CI: 8.13-22.897; p < 0.001) and > 2.9% at time-24 (HR, 12.752; 95% CI: 7.308-22.252; p < 0.001) associated with increased risks of 30-day mortality. In conclusion, an increased DNI value, which reflects the proportion of circulating immature granulocytes in the blood, was found to be an independent predictor of 30-day mortality and poor clinical outcomes in patients with acute STEMI post-pPCI.
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원)
Yonsei Authors
공태영(Kong, Tae Young)
김태훈(Kim, Tae-Hoon)
박유석(Park, Yoo Seok)
박인철(Park, In Cheol)
유제성(You, Je Sung)
이혜선(Lee, Hye Sun)
정성필(Chung, Sung Pil)
홍정화(Hong, Jung Hwa)
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