| Id |
Subject |
Object |
Predicate |
Lexical cue |
| T1 |
0-123 |
Sentence |
denotes |
Ratio of neutrophil to lymphocyte counts--rapid and simple parameter of systemic inflammation and stress in critically ill. |
| T2 |
124-135 |
Sentence |
denotes |
BACKGROUND: |
| T3 |
136-390 |
Sentence |
denotes |
For many years, the intensivists are searching for an easily measurable and available parameter which might reflect the intensity of stress and/or systemic inflammation in critically ill patients following shock, multiple trauma, major surgery or sepsis. |
| T4 |
391-527 |
Sentence |
denotes |
Recently, some authors have described the onset of significant lymphocytopenia after polytrauma, major surgery, endotoxaemia and sepsis. |
| T5 |
528-688 |
Sentence |
denotes |
We investigate whether serial examination of white blood cell counts may reflect and clarify the immune response to stressful events in critically ill patients. |
| T6 |
689-694 |
Sentence |
denotes |
GOAL: |
| T7 |
695-893 |
Sentence |
denotes |
We have designed a prospective longitudinal observational study to investigate serial changes in circulating neutrophil and lymphocyte counts following major surgery, unscheduled surgery and sepsis. |
| T8 |
894-902 |
Sentence |
denotes |
METHODS: |
| T9 |
903-1020 |
Sentence |
denotes |
We have investigated the differential white blood cell counts and the clinical course in 90 oncological ICU patients. |
| T10 |
1021-1313 |
Sentence |
denotes |
We compared three groups: group A consisting of 62 patients who underwent scheduled colorectal surgery, group B consisting of 18 patients who underwent unscheduled surgery for abdominal sepsis, group C consisting of 10 medical ICU patients who were treated for severe sepsis and septic shock. |
| T11 |
1314-1570 |
Sentence |
denotes |
The severity of clinical course was expressed by means of SOFA score (group A 0.3-1-1.3 point, group B 2.2-2.9-2.6 point, group C 7.4-8.3-7.7 point) and APACHE II score (group A 3.7-7.6-8.1 point, group B 8.6-11.1-10.5 point, group C 16.3-15.2-14.3 point). |
| T12 |
1571-1688 |
Sentence |
denotes |
Differential white blood cell counts were investigated on blood cell counter SYSMEX SF 3000 in 4 consecutive periods: |
| T13 |
1689-1848 |
Sentence |
denotes |
1 day one before surgery, 0 the day of surgery or ICU admittance, 1 day one after surgery (or the 1st ICU day), 2nd day following surgery (or the 2nd ICU day). |
| T14 |
1849-1983 |
Sentence |
denotes |
The measured values of neutrophils and lymphocytes were expressed as relative counts (%) of the whole all white blood cell population. |
| T15 |
1984-1992 |
Sentence |
denotes |
RESULTS: |
| T16 |
1993-2258 |
Sentence |
denotes |
The physiologic response of circulating leukocytes to surgical stress in group A is characterized by the onset of marked neutrophilia (62.5% before surgery up to 84.4% after surgery) and significant lymphocytopenia (28.1% before surgery to 10.3% following surgery). |
| T17 |
2259-2376 |
Sentence |
denotes |
We observed a slow decline in neutrophil counts and an increase in lymphocyte counts since the 1st postoperative day. |
| T18 |
2377-2534 |
Sentence |
denotes |
The patients with abdominal infection (group B) had elevated counts of neutrophils already before surgery (83.2%) and low values of lymphocyte counts (9.5%). |
| T19 |
2535-2668 |
Sentence |
denotes |
A further increase in neutrophil counts (89.9%) and marked lymphopenia (7%) were recorded during the post-surgical period in group B. |
| T20 |
2669-2932 |
Sentence |
denotes |
Critically ill patients with severe sepsis or septic shock (group C) had significantly highest values of neutrophil relative counts (94%-93.1%-92.5%, p < 0.05 against group A) and marked lowest values of lymphocyte counts (3.8%-4%-3.7%, p < 0.05 against group A). |
| T21 |
2933-3138 |
Sentence |
denotes |
The severity of clinical course (according SOFA and APACHE II score) correlated with the divergence of neutrophil and lymphocyte counts in the white blood picture (marked neutrophilia and lymphocytopenia). |
| T22 |
3139-3150 |
Sentence |
denotes |
CONCLUSION: |
| T23 |
3151-3354 |
Sentence |
denotes |
In the population of 90 ICU oncological patients, we observed rapid serial changes in white blood cell populations, as a response of the immune system to surgical stress, systemic inflammation or sepsis. |
| T24 |
3355-3486 |
Sentence |
denotes |
Preliminary results show the correlation between the severity of clinical course and the grade of neutrophilia and lymphocytopenia. |
| T25 |
3487-3651 |
Sentence |
denotes |
The ratio of neutrophil and lymphocyte counts (in absolute and/or relative % values) is an easily measurable parameter which may express the severity of affliction. |
| T26 |
3652-3844 |
Sentence |
denotes |
We suggest the term: neutrophil-lymphocyte stress factor, as a ratio of neutrophil to lymphocyte counts, which can be routinely used in clinical ICU practice in intervals of 6-12 and 24 hours. |
| T27 |
3845-3950 |
Sentence |
denotes |
The prognostic value of neutrophil-lymphocyte stress factor should be evaluated in further studies. (Tab. |
| T28 |
3951-3966 |
Sentence |
denotes |
6, Fig. 5, Ref. |
| T29 |
3967-3971 |
Sentence |
denotes |
12.) |
| T1 |
0-123 |
Sentence |
denotes |
Ratio of neutrophil to lymphocyte counts--rapid and simple parameter of systemic inflammation and stress in critically ill. |
| T2 |
124-135 |
Sentence |
denotes |
BACKGROUND: |
| T3 |
136-390 |
Sentence |
denotes |
For many years, the intensivists are searching for an easily measurable and available parameter which might reflect the intensity of stress and/or systemic inflammation in critically ill patients following shock, multiple trauma, major surgery or sepsis. |
| T4 |
391-527 |
Sentence |
denotes |
Recently, some authors have described the onset of significant lymphocytopenia after polytrauma, major surgery, endotoxaemia and sepsis. |
| T5 |
528-688 |
Sentence |
denotes |
We investigate whether serial examination of white blood cell counts may reflect and clarify the immune response to stressful events in critically ill patients. |
| T6 |
689-694 |
Sentence |
denotes |
GOAL: |
| T7 |
695-893 |
Sentence |
denotes |
We have designed a prospective longitudinal observational study to investigate serial changes in circulating neutrophil and lymphocyte counts following major surgery, unscheduled surgery and sepsis. |
| T8 |
894-902 |
Sentence |
denotes |
METHODS: |
| T9 |
903-1020 |
Sentence |
denotes |
We have investigated the differential white blood cell counts and the clinical course in 90 oncological ICU patients. |
| T10 |
1021-1313 |
Sentence |
denotes |
We compared three groups: group A consisting of 62 patients who underwent scheduled colorectal surgery, group B consisting of 18 patients who underwent unscheduled surgery for abdominal sepsis, group C consisting of 10 medical ICU patients who were treated for severe sepsis and septic shock. |
| T11 |
1314-1570 |
Sentence |
denotes |
The severity of clinical course was expressed by means of SOFA score (group A 0.3-1-1.3 point, group B 2.2-2.9-2.6 point, group C 7.4-8.3-7.7 point) and APACHE II score (group A 3.7-7.6-8.1 point, group B 8.6-11.1-10.5 point, group C 16.3-15.2-14.3 point). |
| T12 |
1571-1688 |
Sentence |
denotes |
Differential white blood cell counts were investigated on blood cell counter SYSMEX SF 3000 in 4 consecutive periods: |
| T13 |
1689-1848 |
Sentence |
denotes |
1 day one before surgery, 0 the day of surgery or ICU admittance, 1 day one after surgery (or the 1st ICU day), 2nd day following surgery (or the 2nd ICU day). |
| T14 |
1849-1983 |
Sentence |
denotes |
The measured values of neutrophils and lymphocytes were expressed as relative counts (%) of the whole all white blood cell population. |
| T15 |
1984-1992 |
Sentence |
denotes |
RESULTS: |
| T16 |
1993-2258 |
Sentence |
denotes |
The physiologic response of circulating leukocytes to surgical stress in group A is characterized by the onset of marked neutrophilia (62.5% before surgery up to 84.4% after surgery) and significant lymphocytopenia (28.1% before surgery to 10.3% following surgery). |
| T17 |
2259-2376 |
Sentence |
denotes |
We observed a slow decline in neutrophil counts and an increase in lymphocyte counts since the 1st postoperative day. |
| T18 |
2377-2534 |
Sentence |
denotes |
The patients with abdominal infection (group B) had elevated counts of neutrophils already before surgery (83.2%) and low values of lymphocyte counts (9.5%). |
| T19 |
2535-2668 |
Sentence |
denotes |
A further increase in neutrophil counts (89.9%) and marked lymphopenia (7%) were recorded during the post-surgical period in group B. |
| T20 |
2669-2932 |
Sentence |
denotes |
Critically ill patients with severe sepsis or septic shock (group C) had significantly highest values of neutrophil relative counts (94%-93.1%-92.5%, p < 0.05 against group A) and marked lowest values of lymphocyte counts (3.8%-4%-3.7%, p < 0.05 against group A). |
| T21 |
2933-3138 |
Sentence |
denotes |
The severity of clinical course (according SOFA and APACHE II score) correlated with the divergence of neutrophil and lymphocyte counts in the white blood picture (marked neutrophilia and lymphocytopenia). |
| T22 |
3139-3150 |
Sentence |
denotes |
CONCLUSION: |
| T23 |
3151-3354 |
Sentence |
denotes |
In the population of 90 ICU oncological patients, we observed rapid serial changes in white blood cell populations, as a response of the immune system to surgical stress, systemic inflammation or sepsis. |
| T24 |
3355-3486 |
Sentence |
denotes |
Preliminary results show the correlation between the severity of clinical course and the grade of neutrophilia and lymphocytopenia. |
| T25 |
3487-3651 |
Sentence |
denotes |
The ratio of neutrophil and lymphocyte counts (in absolute and/or relative % values) is an easily measurable parameter which may express the severity of affliction. |
| T26 |
3652-3844 |
Sentence |
denotes |
We suggest the term: neutrophil-lymphocyte stress factor, as a ratio of neutrophil to lymphocyte counts, which can be routinely used in clinical ICU practice in intervals of 6-12 and 24 hours. |
| T27 |
3845-3950 |
Sentence |
denotes |
The prognostic value of neutrophil-lymphocyte stress factor should be evaluated in further studies. (Tab. |
| T28 |
3951-3966 |
Sentence |
denotes |
6, Fig. 5, Ref. |
| T29 |
3967-3971 |
Sentence |
denotes |
12.) |