Yasir İlyas, Department of Anesthesiology and Critical Care, Trabzon Fatih State Hospital, Trabzon, Turkey
Ahmet Beşi̇r, Department of Anesthesiology and Critical Care, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey
Esra Karademir, Department of Anesthesiology and Critical Care, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey
Murat Livaoğlu, Department of Plastic and Reconstructive Surgery, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey
Objective: We aimed to evaluate the relationship between emergence agitation and pre-operative neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) after rhinoplasty. Methods: Our study included 104 patients. All patients underwent surgery under standard general anesthesia. In the pre-operative period, receiver operating curve analysis was performed to determine the cutoff values of NLR and PLR for the risk of emergence agitation and pre-operative anxiety. A correlation analysis was performed between NLR and PLR, the State-Trait Anxiety Inventory scale, and the body image disturbance scale. Results: While the area under the curve (AUC) value of NLR for emergence agitation was not significant (p = 0.76), the cutoff value for PLR was 113.37 (AUC = 0.624, sensitivity = 80.65%, specificity = 45.21%, p = 0.046). Median PLR values were higher in patients with emergence agitation (p = 0.046). The AUC value for pre-operative anxiety was not significant. There was no correlation between NLR and PLR and the scales assessed. Conclusions: We suggest that PLR may be a predictive biomarker in evaluating the risk of pre-operative emergence agitation in patients scheduled for rhinoplasty.
Keywords: Emergence agitation. Neutrophil-lymphocyte ratio. Platelet-lymphocyte ratio. Anxiety. Body dysmorphic disorder.