Impact of the HALP Score on Long-Term Mortality among Patients Undergoing EVAR

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dc.authoridSAHIN, ANIL/0000-0003-1956-2348
dc.authoridDemir, Yusuf/0000-0001-9167-493X
dc.contributor.authorAltunova, Mehmet
dc.contributor.authorEvsen, Ali
dc.contributor.authorDemir, Yusuf
dc.contributor.authorAktemur, Tugba
dc.contributor.authorErdogan, Onur
dc.contributor.authorAtmaca, Sezgin
dc.contributor.authorKoseoglu, Mehmet
dc.date.accessioned2025-02-22T14:08:38Z
dc.date.available2025-02-22T14:08:38Z
dc.date.issued2024
dc.departmentDicle Üniversitesien_US
dc.description.abstractIntroduction: Endovascular aortic repair (EVAR) is commonly used for abdominal aortic aneurysms, but its mortality rate remains high. The hemoglobin, albumin, lymphocyte, and platelet (HALP) score, which measures hemoglobin, albumin, lymphocyte, and platelet levels, provides prognostic value by reflecting the nutritional status and systemic inflammation. This study aimed to explore the relationship between the HALP score upon admission and long-term mortality in patients with EVAR. Methods: Consecutive patients with EVAR at our tertiary center from October 2010 to August 2021 were retrospectively analyzed. HALP scores were calculated using the following formula: hemoglobin (g/L) x albumin (g/L) x lymphocyte count (/L)/platelet count (/L). In-hospital and long-term mortality data were extracted. Receiver operating characteristic curve analysis identified predictors of in-hospital mortality. Multivariate Cox regression analysis was performed to examine determinants of long-term mortality. Results: Among the 162 participants (mean age: 69.4 +/- 8.2 years, 90.1% male), the HALP score was the most significant predictor of inhospital mortality (area under the curve: 0.752, 95% confidence interval: 0.674-0.830; p<0.001). Multivariate Cox regression analysis revealed HALP (p=0.001) and C-reactive protein (p=0.004) as independent determinants of long-term mortality. Conclusion: This study is the first to investigate the association between the HALP score and in-hospital and long-term mortality in EVAR patients. The HALP score is a robust prognostic tool compared with its components and other parameters in this patient population.en_US
dc.identifier.doi10.4274/imj.galenos.2024.87405
dc.identifier.endpage180en_US
dc.identifier.issn2619-9793
dc.identifier.issn2148-094X
dc.identifier.issue3en_US
dc.identifier.startpage175en_US
dc.identifier.trdizinid1280612en_US
dc.identifier.urihttps://doi.org/10.4274/imj.galenos.2024.87405
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1280612
dc.identifier.urihttps://hdl.handle.net/11468/29530
dc.identifier.volume25en_US
dc.identifier.wosWOS:001296714900001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofIstanbul Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250222
dc.subjectEndovascular aortic repairen_US
dc.subjectHALP scoreen_US
dc.subjectlong-term mortalityen_US
dc.titleImpact of the HALP Score on Long-Term Mortality among Patients Undergoing EVARen_US
dc.typeArticleen_US

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