The Medical journal of Malaysia · 2026
The relationship between neutrophil to lymphocyte ratio and the success of hydrostatic reduction in patients with intussusception.
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Agitya S Y, Akhmad M, Andi D, Gunadi, Gibran K, Eko P
Аннотация
INTRODUCTION: Intussusception is a common emergency condition in children. Intussusception leads to inflammation, which is marked by an increase in acute inflammatory markers, including the Neutrophil-Lymphocyte Ratio (NLR). Reduction of sedation (SR) using air or fluid enema is considered safe and effective. We present examining the relationship between NLR and the success of hydrostatic reduction in patients with intussusception for 3 years.
MATERIALS AND METHODS: A retrospective study was conducted from July 2021 to July 2024 in Yogyakarta, Indonesia, involving 41 children with intussusception who underwent hydrostatic reduction under sedation. Demographic, clinical, and laboratory data were collected from medical records, and NLR values were calculated from neutrophil and lymphocyte counts. Receiver operating characteristic (ROC), bivariate, and multivariate analyses were performed to evaluate the association between NLR and successful reduction.
RESULTS: The average age of children who successfully underwent reduction was 25.5 months, compared to 9 months in those who failed. The proportion of children with bleeding stool in the successful reduction group was 28.6%, while it was 73.3% in the unsuccessful, with a p-value <0.05 (0.005). Bivariate analysis indicated that NLR is a significant predictor of successful reduction under sedation procedure with a p-value <0.05 (0.031). Children with NLR <1.73 had a success rate of 84.6%, with a p-value of <0.05 (0.036).
CONCLUSION: The success rate of hydrostatic reduction is higher in children with a low NLR. This study provides new insights into how NLR can predict the success of SR in children with intussusception.
MATERIALS AND METHODS: A retrospective study was conducted from July 2021 to July 2024 in Yogyakarta, Indonesia, involving 41 children with intussusception who underwent hydrostatic reduction under sedation. Demographic, clinical, and laboratory data were collected from medical records, and NLR values were calculated from neutrophil and lymphocyte counts. Receiver operating characteristic (ROC), bivariate, and multivariate analyses were performed to evaluate the association between NLR and successful reduction.
RESULTS: The average age of children who successfully underwent reduction was 25.5 months, compared to 9 months in those who failed. The proportion of children with bleeding stool in the successful reduction group was 28.6%, while it was 73.3% in the unsuccessful, with a p-value <0.05 (0.005). Bivariate analysis indicated that NLR is a significant predictor of successful reduction under sedation procedure with a p-value <0.05 (0.031). Children with NLR <1.73 had a success rate of 84.6%, with a p-value of <0.05 (0.036).
CONCLUSION: The success rate of hydrostatic reduction is higher in children with a low NLR. This study provides new insights into how NLR can predict the success of SR in children with intussusception.