Neutrophil-to-Hemoglobin Ratio and Monocyte-to-Hemoglobin Ratio Predict Prolonged Length of Stay in Patients Undergoing Surgery for Pelvic or Acetabular Fractures
Objective This study evaluated the neutrophil-to-hemoglobin ratio (NHR) and monocyte-to-hemoglobin ratio (MHR) as predictors of prolonged hospital stay in patients undergoing surgery for pelvic or acetabular fractures.Methods We retrospectively reviewed records of patients aged ≥ 18 years who underw...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2025-12-01
|
| Series: | Journal of Investigative Surgery |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/08941939.2025.2515067 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850118191837085696 |
|---|---|
| author | Wei-Gang Pan Yu-Ching Chou Tsu-Te Yeh |
| author_facet | Wei-Gang Pan Yu-Ching Chou Tsu-Te Yeh |
| author_sort | Wei-Gang Pan |
| collection | DOAJ |
| description | Objective This study evaluated the neutrophil-to-hemoglobin ratio (NHR) and monocyte-to-hemoglobin ratio (MHR) as predictors of prolonged hospital stay in patients undergoing surgery for pelvic or acetabular fractures.Methods We retrospectively reviewed records of patients aged ≥ 18 years who underwent open reduction and internal fixation (ORIF). NHR and MHR were calculated from blood samples at admission and 24 hours postoperatively. Prolonged hospital length of stay (LOS) was defined as ≥ 25 days (75th percentile). Optimal cutoffs were determined by ROC curve analysis. Multivariable logistic regression identified associations between clinical variables and prolonged LOS.Results Among 172 patients (mean age 44.5), postoperative NHR > 0.46 and MHR > 0.02 were independently associated with prolonged LOS in patients with acetabular fractures (aOR = 5.90 and 5.42, respectively). No significant associations were found in pelvic fractures.Conclusions Elevated postoperative NHR and MHR are strongly associated with prolonged LOS in patients with acetabular fractures and may assist in perioperative risk stratification and clinical decision-making. |
| format | Article |
| id | doaj-art-d9a3cdac9b9c4ed2bf779af5c956d23e |
| institution | OA Journals |
| issn | 0894-1939 1521-0553 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Investigative Surgery |
| spelling | doaj-art-d9a3cdac9b9c4ed2bf779af5c956d23e2025-08-20T02:35:56ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532025-12-0138110.1080/08941939.2025.2515067Neutrophil-to-Hemoglobin Ratio and Monocyte-to-Hemoglobin Ratio Predict Prolonged Length of Stay in Patients Undergoing Surgery for Pelvic or Acetabular FracturesWei-Gang Pan0Yu-Ching Chou1Tsu-Te Yeh2Department of Orthopaedic Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei City, Taiwan (R.O.C)School of Public Health, National Defense Medical Center, Taipei, Taiwan (R.O.C)Department of Orthopaedic Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei City, Taiwan (R.O.C)Objective This study evaluated the neutrophil-to-hemoglobin ratio (NHR) and monocyte-to-hemoglobin ratio (MHR) as predictors of prolonged hospital stay in patients undergoing surgery for pelvic or acetabular fractures.Methods We retrospectively reviewed records of patients aged ≥ 18 years who underwent open reduction and internal fixation (ORIF). NHR and MHR were calculated from blood samples at admission and 24 hours postoperatively. Prolonged hospital length of stay (LOS) was defined as ≥ 25 days (75th percentile). Optimal cutoffs were determined by ROC curve analysis. Multivariable logistic regression identified associations between clinical variables and prolonged LOS.Results Among 172 patients (mean age 44.5), postoperative NHR > 0.46 and MHR > 0.02 were independently associated with prolonged LOS in patients with acetabular fractures (aOR = 5.90 and 5.42, respectively). No significant associations were found in pelvic fractures.Conclusions Elevated postoperative NHR and MHR are strongly associated with prolonged LOS in patients with acetabular fractures and may assist in perioperative risk stratification and clinical decision-making.https://www.tandfonline.com/doi/10.1080/08941939.2025.2515067neutrophil-to-hemoglobin ratio (NHR)monocyte-to-hemoglobin ratio (MHR)prolonged length of staypelvic fractureacetabular fracture |
| spellingShingle | Wei-Gang Pan Yu-Ching Chou Tsu-Te Yeh Neutrophil-to-Hemoglobin Ratio and Monocyte-to-Hemoglobin Ratio Predict Prolonged Length of Stay in Patients Undergoing Surgery for Pelvic or Acetabular Fractures Journal of Investigative Surgery neutrophil-to-hemoglobin ratio (NHR) monocyte-to-hemoglobin ratio (MHR) prolonged length of stay pelvic fracture acetabular fracture |
| title | Neutrophil-to-Hemoglobin Ratio and Monocyte-to-Hemoglobin Ratio Predict Prolonged Length of Stay in Patients Undergoing Surgery for Pelvic or Acetabular Fractures |
| title_full | Neutrophil-to-Hemoglobin Ratio and Monocyte-to-Hemoglobin Ratio Predict Prolonged Length of Stay in Patients Undergoing Surgery for Pelvic or Acetabular Fractures |
| title_fullStr | Neutrophil-to-Hemoglobin Ratio and Monocyte-to-Hemoglobin Ratio Predict Prolonged Length of Stay in Patients Undergoing Surgery for Pelvic or Acetabular Fractures |
| title_full_unstemmed | Neutrophil-to-Hemoglobin Ratio and Monocyte-to-Hemoglobin Ratio Predict Prolonged Length of Stay in Patients Undergoing Surgery for Pelvic or Acetabular Fractures |
| title_short | Neutrophil-to-Hemoglobin Ratio and Monocyte-to-Hemoglobin Ratio Predict Prolonged Length of Stay in Patients Undergoing Surgery for Pelvic or Acetabular Fractures |
| title_sort | neutrophil to hemoglobin ratio and monocyte to hemoglobin ratio predict prolonged length of stay in patients undergoing surgery for pelvic or acetabular fractures |
| topic | neutrophil-to-hemoglobin ratio (NHR) monocyte-to-hemoglobin ratio (MHR) prolonged length of stay pelvic fracture acetabular fracture |
| url | https://www.tandfonline.com/doi/10.1080/08941939.2025.2515067 |
| work_keys_str_mv | AT weigangpan neutrophiltohemoglobinratioandmonocytetohemoglobinratiopredictprolongedlengthofstayinpatientsundergoingsurgeryforpelvicoracetabularfractures AT yuchingchou neutrophiltohemoglobinratioandmonocytetohemoglobinratiopredictprolongedlengthofstayinpatientsundergoingsurgeryforpelvicoracetabularfractures AT tsuteyeh neutrophiltohemoglobinratioandmonocytetohemoglobinratiopredictprolongedlengthofstayinpatientsundergoingsurgeryforpelvicoracetabularfractures |