{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:29:28Z","timestamp":1790555368812,"version":"4.1.0"},"reference-count":86,"publisher":"Centre for Evaluation in Education and Science (CEON\/CEES)","issue":"4","license":[{"start":{"date-parts":[[2019,1,22]],"date-time":"2019-01-22T00:00:00Z","timestamp":1548115200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,1,22]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec id=\"j_jomb-2018-0050_s_006\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mean platelet volume (MPV), neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) have all been investigated as novel inflammatory markers of cardiac and oncological diseases, while there is only a limited number of studies investigating these markers in chronic obstructive pulmonary disease (COPD). In the present study we examine NLR, PLR; and other markers, such as eosinophil, MPV, plateletcrit (PCT), platelet distribution width (PDW), red cell distribution width (RDW), and C-reactive protein (CRP) in patients with stable and acute exacerbation of COPD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jomb-2018-0050_s_007\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Stable COPD (Group 1, n=140), COPD with acute exacerbation (Group 2, n=110), and healthy controls (Group 3, n=50) were included in the study. Leukocyte, CRP, hemoglobin (HB), RDW, platelet, MPV, PCT, PDW, neutrophil, lymphocyte, eosinophil, NLR, and PLR were analyzed in all groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jomb-2018-0050_s_008\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>HB, leukocyte, platelet, neutrophil, eosinophil, MPV, PCT, CRP, NLR, and PLR were significantly higher, while the lymphocyte was lower in Group 1 than in Group 3. Leukocyte, neutrophil, RDW, CRP, NLR, and PLR were significantly higher, while lymphocyte was lower in Group 2 than in Group 3. Leukocyte, neutrophil, RDW, CRP, NLR, and PLR were significantly higher, while HB, platelet, MPV, PCT, and lymphocyte were significantly lower in Group 2 than in Group 1. NLR and PLR increased significantly in patients with bronchiectasis when compared to those without in Group 1.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jomb-2018-0050_s_009\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our study results suggest that NLR, PLR and RDW can be used as simple and cost-effective markers for the evaluation of severity of exacerbation and for predicting hospitalization and further exacerbations in patients with COPD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2478\/jomb-2018-0050","type":"journal-article","created":{"date-parts":[[2019,1,29]],"date-time":"2019-01-29T06:30:51Z","timestamp":1548743451000},"page":"503-511","source":"Crossref","is-referenced-by-count":49,"title":["Serum biomarkers in patients with stable and acute exacerbation of chronic obstructive pulmonary disease: A comparative 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