Thiol/Disulphide markers and multinational association for supportive
care in cancer risk score in febrile neutropenia
Abstract
Introduction: This study aims to determine the use of thiol/disulphide
homeostasis parameters together with procalcitonin (PCT), C-reactive
protein (CRP) and Multinational Association for Supportive Care in
Cancer (MASCC) risk scoring system for the prediction of prognosis and
mortality in the patients with febrile neutropenia presenting to the
emergency department. Material and methods: The study was carried out
prospectively on 53 patients with febrile neutropenia and 51 healthy
subjects presenting to the emergency department. Thiol/disulphide
homeostasis parameters, which are oxidative stress markers, were
measured through a new method developed by Erel and Neşelioğlu. PCT and
CRP were also measured. Patients were grouped in to high-risk and
low-risk groups in terms of prognosis and mortality through MASCC
scores. Results: Mean values of disulphide/native thiol, CRP and PCT
were found to be significantly higher in the patients having febrile
neutropenia (p=0.029, p<0.001 and p<0.001,
respectively). Mean values of disulphide/native thiol, CRP and PCT were
found to be significantly higher in the high-risk patients (p=0.038,
p=0.004, and p=0.002, respectively). Conclusion: The use of
thiol/disulphide homeostasis parameters, PCT and CRP together with the
MASCC system may be used for the prediction of the prognosis in the
patients with febrile neutropenia.