Assessment of bronchial asthma exacerbation: the utility of platelet indices
Background Activated platelets and platelet indices have a vital role in bronchial hyper-responsiveness, bronchoconstriction, bronchial inflammation, airway remodeling, angiogenesis, allergic reactions, and repair and renewal of tissues; platelets contain mediators that lead to inflammatory response...
Ausführliche Beschreibung
Autor*in: |
Hafez, Manal R. [verfasserIn] Eid, Hoda A. [verfasserIn] Elsawy, Sawsan B. [verfasserIn] Eldin, Nehad Emad [verfasserIn] El Madbouly, Asmaa A. [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2019 |
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Übergeordnetes Werk: |
Enthalten in: Egyptian journal of bronchology - Mumbai, India : Wolters Kluwer - Medknow Publications, 2013, 13(2019), 5 vom: Dez., Seite 623-629 |
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Übergeordnetes Werk: |
volume:13 ; year:2019 ; number:5 ; month:12 ; pages:623-629 |
Links: |
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DOI / URN: |
10.4103/ejb.ejb_69_19 |
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Katalog-ID: |
SPR040736903 |
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520 | |a Background Activated platelets and platelet indices have a vital role in bronchial hyper-responsiveness, bronchoconstriction, bronchial inflammation, airway remodeling, angiogenesis, allergic reactions, and repair and renewal of tissues; platelets contain mediators that lead to inflammatory response. Aim The aim was to assess the use of platelet indices [mean platelet volume (MPV), platelet distribution width (PDW), plateletcrit (PCT), and platelet large cell ratio (PLCR)] as cheap and readily available biomarkers for bronchial asthma exacerbation. Patients and methods A case–control study involved 45 bronchial asthma female patients during both stable and exacerbation phases, and 45 age-matched healthy female patients as a control group. Measurements of platelet counts, MPV, PDW, PCT, PLCR, C-reactive protein (CRP), spirometric indices, and arterial blood gases were performed for all participants. Results The MPV and PDW were significantly lower, whereas the PCT and PLCR were considerably higher in exacerbation phase compared with stable phase and in stable phase in comparison with controls (P<0.001). The MPV and PDW were negatively correlated with white blood cells, $ PaCO_{2} $, symptoms duration, and hs-CRP (high sensitive), with positive correlation with forced expiratory volume in the first second and $ PaO_{2} $ (P<0.001). PCT and PLCR were positively correlated with white blood cells, $ PaO_{2} $, and symptoms duration, and negatively correlated with forced expiratory volume in the first second, symptoms duration, and hs-CRP (P<0.001). Conclusion The platelet indices were altered in exacerbation phase compared with stable phase and control group. Therefore, clinicians should not ignore interpreting platelet indices during asthma exacerbation, especially as these tests are simple, readily available, and of lower cost. It appears that measurement of the platelet indices is a valuable indicator of asthma severity/activity and appears as a useful screening test for asthma exacerbation. | ||
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10.4103/ejb.ejb_69_19 doi (DE-627)SPR040736903 (SPR)ejb.ejb_69_19-e DE-627 ger DE-627 rakwb eng 610 ASE Hafez, Manal R. verfasserin aut Assessment of bronchial asthma exacerbation: the utility of platelet indices 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Activated platelets and platelet indices have a vital role in bronchial hyper-responsiveness, bronchoconstriction, bronchial inflammation, airway remodeling, angiogenesis, allergic reactions, and repair and renewal of tissues; platelets contain mediators that lead to inflammatory response. Aim The aim was to assess the use of platelet indices [mean platelet volume (MPV), platelet distribution width (PDW), plateletcrit (PCT), and platelet large cell ratio (PLCR)] as cheap and readily available biomarkers for bronchial asthma exacerbation. Patients and methods A case–control study involved 45 bronchial asthma female patients during both stable and exacerbation phases, and 45 age-matched healthy female patients as a control group. Measurements of platelet counts, MPV, PDW, PCT, PLCR, C-reactive protein (CRP), spirometric indices, and arterial blood gases were performed for all participants. Results The MPV and PDW were significantly lower, whereas the PCT and PLCR were considerably higher in exacerbation phase compared with stable phase and in stable phase in comparison with controls (P<0.001). The MPV and PDW were negatively correlated with white blood cells, $ PaCO_{2} $, symptoms duration, and hs-CRP (high sensitive), with positive correlation with forced expiratory volume in the first second and $ PaO_{2} $ (P<0.001). PCT and PLCR were positively correlated with white blood cells, $ PaO_{2} $, and symptoms duration, and negatively correlated with forced expiratory volume in the first second, symptoms duration, and hs-CRP (P<0.001). Conclusion The platelet indices were altered in exacerbation phase compared with stable phase and control group. Therefore, clinicians should not ignore interpreting platelet indices during asthma exacerbation, especially as these tests are simple, readily available, and of lower cost. It appears that measurement of the platelet indices is a valuable indicator of asthma severity/activity and appears as a useful screening test for asthma exacerbation. asthma exacerbation (dpeaa)DE-He213 mean platelet volume (dpeaa)DE-He213 platelet distribution width (dpeaa)DE-He213 platelet indices (dpeaa)DE-He213 Eid, Hoda A. verfasserin aut Elsawy, Sawsan B. verfasserin aut Eldin, Nehad Emad verfasserin aut El Madbouly, Asmaa A. verfasserin aut Enthalten in Egyptian journal of bronchology Mumbai, India : Wolters Kluwer - Medknow Publications, 2013 13(2019), 5 vom: Dez., Seite 623-629 (DE-627)1680648691 (DE-600)2988324-6 2314-8551 nnns volume:13 year:2019 number:5 month:12 pages:623-629 https://dx.doi.org/10.4103/ejb.ejb_69_19 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2019 5 12 623-629 |
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10.4103/ejb.ejb_69_19 doi (DE-627)SPR040736903 (SPR)ejb.ejb_69_19-e DE-627 ger DE-627 rakwb eng 610 ASE Hafez, Manal R. verfasserin aut Assessment of bronchial asthma exacerbation: the utility of platelet indices 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Activated platelets and platelet indices have a vital role in bronchial hyper-responsiveness, bronchoconstriction, bronchial inflammation, airway remodeling, angiogenesis, allergic reactions, and repair and renewal of tissues; platelets contain mediators that lead to inflammatory response. Aim The aim was to assess the use of platelet indices [mean platelet volume (MPV), platelet distribution width (PDW), plateletcrit (PCT), and platelet large cell ratio (PLCR)] as cheap and readily available biomarkers for bronchial asthma exacerbation. Patients and methods A case–control study involved 45 bronchial asthma female patients during both stable and exacerbation phases, and 45 age-matched healthy female patients as a control group. Measurements of platelet counts, MPV, PDW, PCT, PLCR, C-reactive protein (CRP), spirometric indices, and arterial blood gases were performed for all participants. Results The MPV and PDW were significantly lower, whereas the PCT and PLCR were considerably higher in exacerbation phase compared with stable phase and in stable phase in comparison with controls (P<0.001). The MPV and PDW were negatively correlated with white blood cells, $ PaCO_{2} $, symptoms duration, and hs-CRP (high sensitive), with positive correlation with forced expiratory volume in the first second and $ PaO_{2} $ (P<0.001). PCT and PLCR were positively correlated with white blood cells, $ PaO_{2} $, and symptoms duration, and negatively correlated with forced expiratory volume in the first second, symptoms duration, and hs-CRP (P<0.001). Conclusion The platelet indices were altered in exacerbation phase compared with stable phase and control group. Therefore, clinicians should not ignore interpreting platelet indices during asthma exacerbation, especially as these tests are simple, readily available, and of lower cost. It appears that measurement of the platelet indices is a valuable indicator of asthma severity/activity and appears as a useful screening test for asthma exacerbation. asthma exacerbation (dpeaa)DE-He213 mean platelet volume (dpeaa)DE-He213 platelet distribution width (dpeaa)DE-He213 platelet indices (dpeaa)DE-He213 Eid, Hoda A. verfasserin aut Elsawy, Sawsan B. verfasserin aut Eldin, Nehad Emad verfasserin aut El Madbouly, Asmaa A. verfasserin aut Enthalten in Egyptian journal of bronchology Mumbai, India : Wolters Kluwer - Medknow Publications, 2013 13(2019), 5 vom: Dez., Seite 623-629 (DE-627)1680648691 (DE-600)2988324-6 2314-8551 nnns volume:13 year:2019 number:5 month:12 pages:623-629 https://dx.doi.org/10.4103/ejb.ejb_69_19 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2019 5 12 623-629 |
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10.4103/ejb.ejb_69_19 doi (DE-627)SPR040736903 (SPR)ejb.ejb_69_19-e DE-627 ger DE-627 rakwb eng 610 ASE Hafez, Manal R. verfasserin aut Assessment of bronchial asthma exacerbation: the utility of platelet indices 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Activated platelets and platelet indices have a vital role in bronchial hyper-responsiveness, bronchoconstriction, bronchial inflammation, airway remodeling, angiogenesis, allergic reactions, and repair and renewal of tissues; platelets contain mediators that lead to inflammatory response. Aim The aim was to assess the use of platelet indices [mean platelet volume (MPV), platelet distribution width (PDW), plateletcrit (PCT), and platelet large cell ratio (PLCR)] as cheap and readily available biomarkers for bronchial asthma exacerbation. Patients and methods A case–control study involved 45 bronchial asthma female patients during both stable and exacerbation phases, and 45 age-matched healthy female patients as a control group. Measurements of platelet counts, MPV, PDW, PCT, PLCR, C-reactive protein (CRP), spirometric indices, and arterial blood gases were performed for all participants. Results The MPV and PDW were significantly lower, whereas the PCT and PLCR were considerably higher in exacerbation phase compared with stable phase and in stable phase in comparison with controls (P<0.001). The MPV and PDW were negatively correlated with white blood cells, $ PaCO_{2} $, symptoms duration, and hs-CRP (high sensitive), with positive correlation with forced expiratory volume in the first second and $ PaO_{2} $ (P<0.001). PCT and PLCR were positively correlated with white blood cells, $ PaO_{2} $, and symptoms duration, and negatively correlated with forced expiratory volume in the first second, symptoms duration, and hs-CRP (P<0.001). Conclusion The platelet indices were altered in exacerbation phase compared with stable phase and control group. Therefore, clinicians should not ignore interpreting platelet indices during asthma exacerbation, especially as these tests are simple, readily available, and of lower cost. It appears that measurement of the platelet indices is a valuable indicator of asthma severity/activity and appears as a useful screening test for asthma exacerbation. asthma exacerbation (dpeaa)DE-He213 mean platelet volume (dpeaa)DE-He213 platelet distribution width (dpeaa)DE-He213 platelet indices (dpeaa)DE-He213 Eid, Hoda A. verfasserin aut Elsawy, Sawsan B. verfasserin aut Eldin, Nehad Emad verfasserin aut El Madbouly, Asmaa A. verfasserin aut Enthalten in Egyptian journal of bronchology Mumbai, India : Wolters Kluwer - Medknow Publications, 2013 13(2019), 5 vom: Dez., Seite 623-629 (DE-627)1680648691 (DE-600)2988324-6 2314-8551 nnns volume:13 year:2019 number:5 month:12 pages:623-629 https://dx.doi.org/10.4103/ejb.ejb_69_19 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2019 5 12 623-629 |
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10.4103/ejb.ejb_69_19 doi (DE-627)SPR040736903 (SPR)ejb.ejb_69_19-e DE-627 ger DE-627 rakwb eng 610 ASE Hafez, Manal R. verfasserin aut Assessment of bronchial asthma exacerbation: the utility of platelet indices 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Activated platelets and platelet indices have a vital role in bronchial hyper-responsiveness, bronchoconstriction, bronchial inflammation, airway remodeling, angiogenesis, allergic reactions, and repair and renewal of tissues; platelets contain mediators that lead to inflammatory response. Aim The aim was to assess the use of platelet indices [mean platelet volume (MPV), platelet distribution width (PDW), plateletcrit (PCT), and platelet large cell ratio (PLCR)] as cheap and readily available biomarkers for bronchial asthma exacerbation. Patients and methods A case–control study involved 45 bronchial asthma female patients during both stable and exacerbation phases, and 45 age-matched healthy female patients as a control group. Measurements of platelet counts, MPV, PDW, PCT, PLCR, C-reactive protein (CRP), spirometric indices, and arterial blood gases were performed for all participants. Results The MPV and PDW were significantly lower, whereas the PCT and PLCR were considerably higher in exacerbation phase compared with stable phase and in stable phase in comparison with controls (P<0.001). The MPV and PDW were negatively correlated with white blood cells, $ PaCO_{2} $, symptoms duration, and hs-CRP (high sensitive), with positive correlation with forced expiratory volume in the first second and $ PaO_{2} $ (P<0.001). PCT and PLCR were positively correlated with white blood cells, $ PaO_{2} $, and symptoms duration, and negatively correlated with forced expiratory volume in the first second, symptoms duration, and hs-CRP (P<0.001). Conclusion The platelet indices were altered in exacerbation phase compared with stable phase and control group. Therefore, clinicians should not ignore interpreting platelet indices during asthma exacerbation, especially as these tests are simple, readily available, and of lower cost. It appears that measurement of the platelet indices is a valuable indicator of asthma severity/activity and appears as a useful screening test for asthma exacerbation. asthma exacerbation (dpeaa)DE-He213 mean platelet volume (dpeaa)DE-He213 platelet distribution width (dpeaa)DE-He213 platelet indices (dpeaa)DE-He213 Eid, Hoda A. verfasserin aut Elsawy, Sawsan B. verfasserin aut Eldin, Nehad Emad verfasserin aut El Madbouly, Asmaa A. verfasserin aut Enthalten in Egyptian journal of bronchology Mumbai, India : Wolters Kluwer - Medknow Publications, 2013 13(2019), 5 vom: Dez., Seite 623-629 (DE-627)1680648691 (DE-600)2988324-6 2314-8551 nnns volume:13 year:2019 number:5 month:12 pages:623-629 https://dx.doi.org/10.4103/ejb.ejb_69_19 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2019 5 12 623-629 |
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10.4103/ejb.ejb_69_19 doi (DE-627)SPR040736903 (SPR)ejb.ejb_69_19-e DE-627 ger DE-627 rakwb eng 610 ASE Hafez, Manal R. verfasserin aut Assessment of bronchial asthma exacerbation: the utility of platelet indices 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Activated platelets and platelet indices have a vital role in bronchial hyper-responsiveness, bronchoconstriction, bronchial inflammation, airway remodeling, angiogenesis, allergic reactions, and repair and renewal of tissues; platelets contain mediators that lead to inflammatory response. Aim The aim was to assess the use of platelet indices [mean platelet volume (MPV), platelet distribution width (PDW), plateletcrit (PCT), and platelet large cell ratio (PLCR)] as cheap and readily available biomarkers for bronchial asthma exacerbation. Patients and methods A case–control study involved 45 bronchial asthma female patients during both stable and exacerbation phases, and 45 age-matched healthy female patients as a control group. Measurements of platelet counts, MPV, PDW, PCT, PLCR, C-reactive protein (CRP), spirometric indices, and arterial blood gases were performed for all participants. Results The MPV and PDW were significantly lower, whereas the PCT and PLCR were considerably higher in exacerbation phase compared with stable phase and in stable phase in comparison with controls (P<0.001). The MPV and PDW were negatively correlated with white blood cells, $ PaCO_{2} $, symptoms duration, and hs-CRP (high sensitive), with positive correlation with forced expiratory volume in the first second and $ PaO_{2} $ (P<0.001). PCT and PLCR were positively correlated with white blood cells, $ PaO_{2} $, and symptoms duration, and negatively correlated with forced expiratory volume in the first second, symptoms duration, and hs-CRP (P<0.001). Conclusion The platelet indices were altered in exacerbation phase compared with stable phase and control group. Therefore, clinicians should not ignore interpreting platelet indices during asthma exacerbation, especially as these tests are simple, readily available, and of lower cost. It appears that measurement of the platelet indices is a valuable indicator of asthma severity/activity and appears as a useful screening test for asthma exacerbation. asthma exacerbation (dpeaa)DE-He213 mean platelet volume (dpeaa)DE-He213 platelet distribution width (dpeaa)DE-He213 platelet indices (dpeaa)DE-He213 Eid, Hoda A. verfasserin aut Elsawy, Sawsan B. verfasserin aut Eldin, Nehad Emad verfasserin aut El Madbouly, Asmaa A. verfasserin aut Enthalten in Egyptian journal of bronchology Mumbai, India : Wolters Kluwer - Medknow Publications, 2013 13(2019), 5 vom: Dez., Seite 623-629 (DE-627)1680648691 (DE-600)2988324-6 2314-8551 nnns volume:13 year:2019 number:5 month:12 pages:623-629 https://dx.doi.org/10.4103/ejb.ejb_69_19 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2019 5 12 623-629 |
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Hafez, Manal R. @@aut@@ Eid, Hoda A. @@aut@@ Elsawy, Sawsan B. @@aut@@ Eldin, Nehad Emad @@aut@@ El Madbouly, Asmaa A. @@aut@@ |
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Aim The aim was to assess the use of platelet indices [mean platelet volume (MPV), platelet distribution width (PDW), plateletcrit (PCT), and platelet large cell ratio (PLCR)] as cheap and readily available biomarkers for bronchial asthma exacerbation. Patients and methods A case–control study involved 45 bronchial asthma female patients during both stable and exacerbation phases, and 45 age-matched healthy female patients as a control group. Measurements of platelet counts, MPV, PDW, PCT, PLCR, C-reactive protein (CRP), spirometric indices, and arterial blood gases were performed for all participants. Results The MPV and PDW were significantly lower, whereas the PCT and PLCR were considerably higher in exacerbation phase compared with stable phase and in stable phase in comparison with controls (P<0.001). The MPV and PDW were negatively correlated with white blood cells, $ PaCO_{2} $, symptoms duration, and hs-CRP (high sensitive), with positive correlation with forced expiratory volume in the first second and $ PaO_{2} $ (P<0.001). PCT and PLCR were positively correlated with white blood cells, $ PaO_{2} $, and symptoms duration, and negatively correlated with forced expiratory volume in the first second, symptoms duration, and hs-CRP (P<0.001). Conclusion The platelet indices were altered in exacerbation phase compared with stable phase and control group. Therefore, clinicians should not ignore interpreting platelet indices during asthma exacerbation, especially as these tests are simple, readily available, and of lower cost. 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Hafez, Manal R. |
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assessment of bronchial asthma exacerbation: the utility of platelet indices |
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Assessment of bronchial asthma exacerbation: the utility of platelet indices |
abstract |
Background Activated platelets and platelet indices have a vital role in bronchial hyper-responsiveness, bronchoconstriction, bronchial inflammation, airway remodeling, angiogenesis, allergic reactions, and repair and renewal of tissues; platelets contain mediators that lead to inflammatory response. Aim The aim was to assess the use of platelet indices [mean platelet volume (MPV), platelet distribution width (PDW), plateletcrit (PCT), and platelet large cell ratio (PLCR)] as cheap and readily available biomarkers for bronchial asthma exacerbation. Patients and methods A case–control study involved 45 bronchial asthma female patients during both stable and exacerbation phases, and 45 age-matched healthy female patients as a control group. Measurements of platelet counts, MPV, PDW, PCT, PLCR, C-reactive protein (CRP), spirometric indices, and arterial blood gases were performed for all participants. Results The MPV and PDW were significantly lower, whereas the PCT and PLCR were considerably higher in exacerbation phase compared with stable phase and in stable phase in comparison with controls (P<0.001). The MPV and PDW were negatively correlated with white blood cells, $ PaCO_{2} $, symptoms duration, and hs-CRP (high sensitive), with positive correlation with forced expiratory volume in the first second and $ PaO_{2} $ (P<0.001). PCT and PLCR were positively correlated with white blood cells, $ PaO_{2} $, and symptoms duration, and negatively correlated with forced expiratory volume in the first second, symptoms duration, and hs-CRP (P<0.001). Conclusion The platelet indices were altered in exacerbation phase compared with stable phase and control group. Therefore, clinicians should not ignore interpreting platelet indices during asthma exacerbation, especially as these tests are simple, readily available, and of lower cost. It appears that measurement of the platelet indices is a valuable indicator of asthma severity/activity and appears as a useful screening test for asthma exacerbation. |
abstractGer |
Background Activated platelets and platelet indices have a vital role in bronchial hyper-responsiveness, bronchoconstriction, bronchial inflammation, airway remodeling, angiogenesis, allergic reactions, and repair and renewal of tissues; platelets contain mediators that lead to inflammatory response. Aim The aim was to assess the use of platelet indices [mean platelet volume (MPV), platelet distribution width (PDW), plateletcrit (PCT), and platelet large cell ratio (PLCR)] as cheap and readily available biomarkers for bronchial asthma exacerbation. Patients and methods A case–control study involved 45 bronchial asthma female patients during both stable and exacerbation phases, and 45 age-matched healthy female patients as a control group. Measurements of platelet counts, MPV, PDW, PCT, PLCR, C-reactive protein (CRP), spirometric indices, and arterial blood gases were performed for all participants. Results The MPV and PDW were significantly lower, whereas the PCT and PLCR were considerably higher in exacerbation phase compared with stable phase and in stable phase in comparison with controls (P<0.001). The MPV and PDW were negatively correlated with white blood cells, $ PaCO_{2} $, symptoms duration, and hs-CRP (high sensitive), with positive correlation with forced expiratory volume in the first second and $ PaO_{2} $ (P<0.001). PCT and PLCR were positively correlated with white blood cells, $ PaO_{2} $, and symptoms duration, and negatively correlated with forced expiratory volume in the first second, symptoms duration, and hs-CRP (P<0.001). Conclusion The platelet indices were altered in exacerbation phase compared with stable phase and control group. Therefore, clinicians should not ignore interpreting platelet indices during asthma exacerbation, especially as these tests are simple, readily available, and of lower cost. It appears that measurement of the platelet indices is a valuable indicator of asthma severity/activity and appears as a useful screening test for asthma exacerbation. |
abstract_unstemmed |
Background Activated platelets and platelet indices have a vital role in bronchial hyper-responsiveness, bronchoconstriction, bronchial inflammation, airway remodeling, angiogenesis, allergic reactions, and repair and renewal of tissues; platelets contain mediators that lead to inflammatory response. Aim The aim was to assess the use of platelet indices [mean platelet volume (MPV), platelet distribution width (PDW), plateletcrit (PCT), and platelet large cell ratio (PLCR)] as cheap and readily available biomarkers for bronchial asthma exacerbation. Patients and methods A case–control study involved 45 bronchial asthma female patients during both stable and exacerbation phases, and 45 age-matched healthy female patients as a control group. Measurements of platelet counts, MPV, PDW, PCT, PLCR, C-reactive protein (CRP), spirometric indices, and arterial blood gases were performed for all participants. Results The MPV and PDW were significantly lower, whereas the PCT and PLCR were considerably higher in exacerbation phase compared with stable phase and in stable phase in comparison with controls (P<0.001). The MPV and PDW were negatively correlated with white blood cells, $ PaCO_{2} $, symptoms duration, and hs-CRP (high sensitive), with positive correlation with forced expiratory volume in the first second and $ PaO_{2} $ (P<0.001). PCT and PLCR were positively correlated with white blood cells, $ PaO_{2} $, and symptoms duration, and negatively correlated with forced expiratory volume in the first second, symptoms duration, and hs-CRP (P<0.001). Conclusion The platelet indices were altered in exacerbation phase compared with stable phase and control group. Therefore, clinicians should not ignore interpreting platelet indices during asthma exacerbation, especially as these tests are simple, readily available, and of lower cost. It appears that measurement of the platelet indices is a valuable indicator of asthma severity/activity and appears as a useful screening test for asthma exacerbation. |
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Aim The aim was to assess the use of platelet indices [mean platelet volume (MPV), platelet distribution width (PDW), plateletcrit (PCT), and platelet large cell ratio (PLCR)] as cheap and readily available biomarkers for bronchial asthma exacerbation. Patients and methods A case–control study involved 45 bronchial asthma female patients during both stable and exacerbation phases, and 45 age-matched healthy female patients as a control group. Measurements of platelet counts, MPV, PDW, PCT, PLCR, C-reactive protein (CRP), spirometric indices, and arterial blood gases were performed for all participants. Results The MPV and PDW were significantly lower, whereas the PCT and PLCR were considerably higher in exacerbation phase compared with stable phase and in stable phase in comparison with controls (P<0.001). The MPV and PDW were negatively correlated with white blood cells, $ PaCO_{2} $, symptoms duration, and hs-CRP (high sensitive), with positive correlation with forced expiratory volume in the first second and $ PaO_{2} $ (P<0.001). PCT and PLCR were positively correlated with white blood cells, $ PaO_{2} $, and symptoms duration, and negatively correlated with forced expiratory volume in the first second, symptoms duration, and hs-CRP (P<0.001). Conclusion The platelet indices were altered in exacerbation phase compared with stable phase and control group. Therefore, clinicians should not ignore interpreting platelet indices during asthma exacerbation, especially as these tests are simple, readily available, and of lower cost. 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