Clinical Significance of the Neutrophil-Lymphocyte Ratio as a Prognostic Marker for Adverse Outcomes in Patients with Acute Pancreatitis
Adarsh V. Honnalli, Patil VirupaxagoudaObjectives:
To evaluate the prognostic value of the neutrophil–lymphocyte ratio (NLR) in patients with acute pancreatitis and to determine its usefulness in predicting disease severity and adverse outcomes.
Material and Methods:
A prospective cross-sectional study including 50 patients diagnosed with acute pancreatitis. NLR was calculated on day 0, day 1, and day 2 and compared across CT severity groups. Statistical analysis was performed using ANOVA and chi-square tests.
Results:
NLR declined in mild and moderate cases but increased significantly in severe cases. The difference among groups was statistically highly significant (P < 0.01). Higher NLR was associated with longer hospital stay and organ dysfunction.
Conclusion:
NLR is a simple, cost-effective and reliable marker for early assessment of severity and prognosis in acute pancreatitis.