Turning Ratios Into Prognosis: Neutrophil-to-Lymphocyte and Platelet-to-Lymphocyte Ratios as Powerful Predictors of ARDS in Pediatric Burn Patients: A Prospective Evaluation

Exclusion Criteria12

• Patient refusal to participate in the trial.
• Age <1 \& >12 years.
• Delayed admission >24h post-injury.
• Patients presenting with burns <20% or >40% of TBSA.
• Non-thermal burns.
• Associated medical comorbidities: Chronic liver or kidney diseases, anemia.
• Preexisting chronic lung disease (e.g., cystic fibrosis, severe bronchopulmonary dysplasia).
• Inflammatory conditions (e.g., inflammatory bowel disease).
• Immunocompromised individuals, autoimmune diseases, those undergoing treatment with immunosuppressants, corticosteroids, cytotoxic chemotherapy.
• Known malignancies, hematologic malignancy or conditions altering WBC/platelets significantly.
• Previous malnutrition.
• Immunosuppressive therapy prior to admission (e.g., chronic steroids).