학술논문

Monocytes Count, NLR, MLR and PLR in Canine Inflammatory Bowel Disease.
Document Type
Article
Source
Animals (2076-2615). Mar2024, Vol. 14 Issue 6, p837. 11p.
Subject
*INFLAMMATORY bowel diseases
*CROHN'S disease
*MONOCYTE lymphocyte ratio
*MONOCYTES
*PLATELET lymphocyte ratio
*ERYTHROCYTES
*FLEA control
Language
ISSN
2076-2615
Abstract
Simple Summary: Inflammatory bowel disease (IBD) is a common chronic gastrointestinal disorder in dogs. Hematological ratios, in particular red blood cell distribution width (RDW), neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), and platelet-to-lymphocyte ratio (PLR), are considered cost-effective predictors of clinical disease activity in human patients with IBD and Crohn's disease. This study evaluated the diagnostic value of hematological parameters and ratios in 85 client-owned dogs, comparing 60 dogs with IBD to 25 clinically healthy dogs. Monocytes count and the hematological ratios MLR, NLR, and PLR can be useful in the diagnostic work-up of dogs with IBD. This is an observational retrospective study on 85 client-owned dogs, 60 with IBD and 25 clinically healthy dogs. This study aims to assess the clinical relevance of some easy to obtain and cost-effective hematological parameters including red blood cell distribution width (RDW), neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), and platelet-to-lymphocyte ratio (PLR) in dogs with IBD. Comparison of clinical and laboratory parameters between dogs with IBD and control dogs was carried out and the ability to distinguish between these two groups of dogs was evaluated by calculating the area under the receiver-operating characteristic curve (AUCROC). Univariate and multivariable logistic regression analysis estimated the odds ratio (OR) of developing IBD with a 95% confidence interval (CI). MLR and monocytes count had the highest accuracy in facilitating the discrimination of dogs with IBD from control dogs with an AUCROC of 0.839 and 0.787 at the cut-off of >0.14% and >3.7 cells*102/µL, respectively. According to two multivariable models, monocytes count (OR = 1.29; p = 0.016), NLR (OR = 1.80; p = 0.016), and MLR > 0.14 (OR = 8.07; p < 0.001) and PLR > 131.6 (OR = 4.35; p = 0.024) were significant and independent predictors of IBD for models one and two, respectively. Monocytes count and the hematological ratios MLR, NLR, and PLR can be useful in the diagnostic work-up of dogs with IBD. [ABSTRACT FROM AUTHOR]