Research Article

Predictive Value of Novel Inflammation-Based Biomarkers for Pulmonary Hypertension in the Acute Exacerbation of Chronic Obstructive Pulmonary Disease

Table 3

Laboratory parameters and echocardiographic variables based on severity of PH.

Mild PH ()Moderate PH ()Severe PH () value

Lym (×109/l)bcb,c0.009
NLR6.07 (4.86-11.25)6.29 (5.05-10.62)7.73 (4.80-17.73)0.372
PLR210.64 (153.61-277.05)b210.31 (160.63-263.37)c326.59 (232.77-443.02)b,c0.010
SII1473.25 (813.27-2448.08)1299.09 (932.72-2352.89)1611.04 (1047.50-2999.36)0.432
Albumin (g/l)37.85 (34.65-41)36.10 (32.60-39.35)35.40 (33.43-36.85)0.158
NT-proBNP (pg/ml)237.50 (108-1050.25)a,b887 (274-3296)a1588 (587-5296)b
PaCO2 (mmHg)45.70 (39.25,51.38)a60.10 (49.55-72.05)a56.55 (40.85-63.78)
HCO3- (mmol/l)28.30 (26.70-32.20)a,b36.30 (32-40.60)a35.55 (28.13-39.43)b
Lac (mmol/l)0.389
D-Dimer (μg/ml)0.52 (0.37-0.94)0.93 (0.39-2.30)1.15 (0.38-1.73)0.099
LAD (mm)0.114
LVDD (mm)43 (40-47)45 (41-47)42 (35-46.25)0.190
RAD (mm)a,bab
RVD (mm)17 (16-18)a,b19 (17-22)a20.5 (17-32.5)b
PTRV (m/s)2.9 (2.81-3.06)a,b3.47 (3.33-3.64)a,c4.31 (4.06-4.88)b,c
PASP (mmHg)a,ba,cb,c
LVEF68 (65-68)67 (65-68)66 (65-68)0.254

Abbreviations: Lym—lymphocytes; NLR—neutrophil-to-lymphocyte ratio; PLR—platelet-to-lymphocyte ratio; SII—systemic-immune-inflammation index; PaCO2—partial pressure of carbon dioxide; HCO3-—bicarbonate ion; Lac—lactic acid; LAD—left atrium diameter; LVDD—left ventricular end diastolic diameter; RAD—right atrium diameter; RVD—right ventricular diameter; PTRV—peak tricuspid regurgitation velocity; PASP—pulmonary artery systolic pressure; LVEF—left ventricular ejection fraction. a for mild PH vs. moderate PH; b for mild PH vs. severe PH; c for moderate PH vs. severe PH.