About this trial
This is Case control study aims to study Neutrophil-to-Lymphocyte Ratio (NLR), Eosinophil-to-Lymphocyte Ratio (ELR), and Systemic Immune Inflammation (SII) Index as Biomarkers of Asthma Controlin adult patients with bronchial asthma.
This study will investigate the association between these inflammatory indices and the level of asthma control to assess their potential value as simple ,readily available and cost -effective biomarkers in clinical practice.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Adult patients aged > 18 years.
Confirmed diagnosis of bronchial asthma according to Global Initiative for Asthma (GINA) guidelines.
Patients who provided informed consent to participate in the study.
Disqualifiers
Patients with chronic respiratory diseases other than asthma.
Acute respiratory infection within the previous 4 weeks.
Patients with hematological disorders, malignancies, autoimmune diseases, or systemic inflammatory conditions that might affect blood cell counts.
Patients taking systemic steroids, experiencing acute asthma attack (because infection may affect neutrophil level).
Trial population
The study population consists of 140 adults: 70 patients with physician-diagnosed asthma and 70 age- and sex-matched healthy controls recruited from the Chest Department of Assiut University Hospital during the study period
Trial design
Case-control
Prospective
Treatments tested in this trial
Complete blood count
Other interventionVenous blood samples will be collected for CBC including neutrophil, lymphocyte, eosinophil, and platelet counts. NLR, ELR, and SII will be calculated
Treatment groups
Trial outcomes
Primary outcomes
Asthma Control Test (ACT) score.
Asthma control will be assessed using the Asthma Control Test (ACT; score range 5-25 points) at baseline. The ACT score will be analyzed for its correlation with neutrophil-to-lymphocyte ratio (NLR), eosinophil-to-lymphocyte ratio (ELR), and systemic immune-inflammation index (SII).
Secondary outcomes
Comparison of the accuracy of NLR, ELR, and SII to determine the most reliable biomarker for asthma control assessment.
To compare the diagnostic performance of NLR, ELR, and SII in distinguishing controlled from uncontrolled asthma and to identify the biomarker with the highest predictive accuracy.
Sponsors and contacts
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Shaimaa Ali Mohammed
Lead sponsor
Assiut University
Sponsor institution
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