• Adnan Kuvvetli and Begum Seyda Avci.
• Department of General Surgery, Health Science University, Adana City Research and Training Hospital, Turkey.
• J Coll Physicians Surg Pak. 2020 Jul 1; 30 (7): 688-693.

ObjectiveTo determine the effectiveness of the ratio of monocyte count to high density lipoprotein cholesterol in predicting in-hospital mortality.Study DesignDescriptive study.Place And Duration Of StudyIntensive Care Unite, Adana Numune Research and Training Hospital, Turkey, from January 2018 to December 2019.MethodologyPatients admitted to the intensive care unit with the diagnosis of mesenteric embolism were included in the study. Monocyte count and high-density lipoprotein cholesterol (HDL) values were determined. Monocyte HDL Ratio (MHR) values of the patients were calculated. SPSS 26 package programme was used to investigate the effectiveness of MHR in predicting mortality.ResultsThe mean age of the 81 patients was 69.9 ±10.6 years. In the group with mortality, the number of monocytes and MHR were significantly higher than the group without mortality (p<0.05). In the mortality group, HDL value was significantly lower (p<0.05) than the non-mortality group. Sensitivity of the MHR cutoff value of 19 was 81.8%, positive predictive value was 96.4%, specificity value was 97.9%, negative predictive value was 88.7%.ConclusionFor patients diagnosed with acute mesenteric embolism, the use of predictors in terms of mortality estimation is very important for the faster implementation of treatment modalities. MHR value can be used as a strong predictor. Key Words: Mesenteric embolism, Monocyte, HDL cholesterol, MHR, Mortality.

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