Scholarlink

Aim <p>Coronary artery bypass grafting (CABG) is a widely performed cardiac surgery, but postoperative complications remain a concern. The HALP (hemoglobin, albumin, lymphocyte, and platelet) score is an emerging immunonutritional marker. This study aimed to evaluate the prognostic value of the postoperative HALP score in predicting adverse events after elective CABG.</p> Method <p>This retrospective study included 153 patients undergoing elective CABG with cardiopulmonary bypass. Adverse events were defined as prolonged intubation, prolonged intensive care unit stay, acute renal failure, cardiogenic shock, infection, and in-hospital mortality. The occurrence of at least one of these events was considered an adverse event. HALP scores were calculated using blood sample values obtained during the postoperative period, and their correlation with adverse events was analyzed.</p> Results <p>A low lymphocyte count, low albumin levels, and elevated platelet count were significantly associated with adverse events. Additionally, lower HALP scores were associated with adverse events (p &lt; 0.001). Logistic regression revealed that a higher HALP score reduced the risk of adverse events by 99.3% (OR: 0.007, p = 0.013). ROC analysis showed that a HALP score of ≤ 10.93 effectively predicted adverse events (AUC: 0.997, sensitivity: 96.77%, specificity: 99.18%).</p> Conclusion <p>HALP score is a strong predictor of adverse outcomes after CABG. Routine assessment may aid early risk identification and improve postoperative management. The HALP score is a strong predictor of adverse outcomes after CABG. Routine assessment may aid early risk identification and improve postoperative management.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Predictive Value of Halp Score for Postoperative Adverse Events After Coronary Artery Bypass Surgery

  • 期刊论文

  • 发表日期：

    2025年6月13日

查看全文
  • Muhammet Hüseyin Erkan,
  • Ahmet Nihat Baysal,
  • Hayat Gökmengil,
  • İlyas Selim Yilmaz,
  • Abdullah Güner,
  • Kadir Durgut

摘要

Aim

Coronary artery bypass grafting (CABG) is a widely performed cardiac surgery, but postoperative complications remain a concern. The HALP (hemoglobin, albumin, lymphocyte, and platelet) score is an emerging immunonutritional marker. This study aimed to evaluate the prognostic value of the postoperative HALP score in predicting adverse events after elective CABG.

Method

This retrospective study included 153 patients undergoing elective CABG with cardiopulmonary bypass. Adverse events were defined as prolonged intubation, prolonged intensive care unit stay, acute renal failure, cardiogenic shock, infection, and in-hospital mortality. The occurrence of at least one of these events was considered an adverse event. HALP scores were calculated using blood sample values obtained during the postoperative period, and their correlation with adverse events was analyzed.

Results

A low lymphocyte count, low albumin levels, and elevated platelet count were significantly associated with adverse events. Additionally, lower HALP scores were associated with adverse events (p < 0.001). Logistic regression revealed that a higher HALP score reduced the risk of adverse events by 99.3% (OR: 0.007, p = 0.013). ROC analysis showed that a HALP score of ≤ 10.93 effectively predicted adverse events (AUC: 0.997, sensitivity: 96.77%, specificity: 99.18%).

Conclusion

HALP score is a strong predictor of adverse outcomes after CABG. Routine assessment may aid early risk identification and improve postoperative management. The HALP score is a strong predictor of adverse outcomes after CABG. Routine assessment may aid early risk identification and improve postoperative management.