Table 4.
Trends in serum biomarker levels in patients receiving total intravenous anesthesia vs. patients receiving inhalation anesthesia.
| Laboratory parameters | IA1 | TIVA1 | IA | TIVA | ||
|---|---|---|---|---|---|---|
| Trend from baseline to 1 h.2 |
Trend from baseline to 24 h.2 |
Trend from baseline to 1 h.2 |
Trend from baseline to 24 h.2 | |||
| Absolute NLR | <0.001 | <0.001 | ↑<0.001 | ↑<0.001 | ↑<0.001 | ↑<0.001 |
| Relative NLR | <0.001 | <0.001 | ↑<0.001 | ↑<0.001 | ↑<0.001 | ↑<0.001 |
| CRP, mg/l | <0.001 | <0.001 | 0.248 | ↑<0.001 | 0.999 | ↑<0.001 |
| IgA, g/l | 0.006 | 0.002 | 0.109 | ↑0.006 | 0.401 | 0.154 |
| IgM, g/l | 0.015 | 0.094 | 0.065 | ↓0.028 | NA | NA |
| IgG, g/l | <0.001 | 0.001 | ↓0.049 | ↓<0.001 | 0.999 | ↓0.010 |
| C3, g/l | 0.001 | 0.083 | ↓0.001 | 0.074 | NA | NA |
| C4, g/l | 0.014 | 0.103 | ↓0.013 | 0.459 | NA | NA |
| MMP-9, ng/ml | NA | NA | NA | 0.1633 | NA | 0.3743 |
| Absolute neutrophil count, 109/L | <0.001 | <0.001 | ↑<0.001 | ↑<0.001 | ↑<0.001 | ↑<0.001 |
| Absolute lymphocyte count, 109/L | <0.001 | <0.001 | ↓<0.001 | ↓<0.001 | ↓<0.001 | ↓<0.001 |
| Relative neutrophil count, % | <0.001 | <0.001 | ↑<0.001 | ↑<0.001 | ↑<0.001 | ↑<0.001 |
| Relative lymphocyte count, % | <0.001 | <0.001 | ↓<0.001 | ↓<0.001 | ↓<0.001 | ↓<0.001 |
| Т cells (СD3+), % | 0.001 | <0.001 | ↓0.07 | 0.540 | ↓0.028 | 0.485 |
| T helper cell (CD3+CD4+), % | 0.020 | 0.005 | 0.999 | 0.07 | 0.121 | 0.750 |
| Cytotoxic T cell (CD3+CD8+), % | 0.016 | 0.004 | 0.999 | ↓0.016 | 0.297 | 0.297 |
| Immunoregulatory index (CD4+/CD8+ ratio) | 0.034 | 0.003 | 0.999 | ↑0.037 | 0.258 | 0.258 |
| В cells, % | <0.001 | <0.001 | ↑<0.001 | ↑<0.001 | ↑0.010 | ↑<0.001 |
| NK cells, % | 0.001 | <0.001 | 0.999 | ↓0.016 | 0.662 | ↓0.018 |
| Т cells (СD3+), В cells (СD19+CD3), NK cells (CD3-CD16+), % | 0.805 | 0.905 | NA | NA | NA | NA |
1Friedman test, 2Dunn’s post-hoc test; 3Wilcoxon signed-rank test; NA, not applicable; IA, inhalation anesthesia; TIVA, total intravenous anesthesia.
The symbols ↑ and ↓ represent an increase and a decrease in the parameter over time, respectively.