Evidence map›Paper›PMID 27186221›Full record

ArticleKorean journal of pediatrics2016

Usefulness of neutrophil-lymphocyte ratio in young children with febrile urinary tract infection.

Song Yi Han, I Re Lee, Se Jin Park, Ji Hong Kim, Jae Il Shin

Open access · diamondAbstract read
In one paragraph

Article in Korean journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
9.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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  15. Epidemiological and initial clinical characteristics of patients with family aggregation of COVID-19.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Song Yi HanDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.; Department of Pediatric Nephrology, Severance Children's Hospital, Seoul, Korea.
I Re LeeDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.; Department of Pediatric Nephrology, Severance Children's Hospital, Seoul, Korea.
Se Jin ParkDepartment of Pediatrics, Daewoo General Hospital, Ajou University School of Medicine, Geoje, Korea.
Ji Hong KimDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Jae Il ShinDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.; Department of Pediatric Nephrology, Severance Children's Hospital, Seoul, Korea.
Yonsei University · KRDaewoo Pharma (South Korea) · KRSeverance Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAcute pyelonephritis (APN) is a serious bacterial infection that can cause renal scarring in children. Early identification of APN is critical to improve treatment outcomes. The neutrophil-lymphocyte ratio (NLR) is a prognostic marker of many diseases, but it has not yet been established in urinary tract infection (UTI). The aim of this study was to determine whether NLR is a useful marker to predict APN or vesicoureteral reflux (VUR).

methodsWe retrospectively evaluated 298 pediatric patients (age≤36 months) with febrile UTI from January 2010 to December 2014. Conventional infection markers (white blood cell [WBC] count, erythrocyte sedimentation rate [ESR], C-reactive protein [CRP]), and NLR were measured.

resultsWBC, CRP, ESR, and NLR were higher in APN than in lower UTI (P<0.001). Multiple logistic regression analyses showed that NLR was a predictive factor for positive dimercaptosuccinic acid (DMSA) defects (P<0.001). The area under the receiver operating characteristic (ROC) curve was high for NLR (P<0.001) as well as CRP (P<0.001) for prediction of DMSA defects. NLR showed the highest area under the ROC curve for diagnosis of VUR (P<0.001).

conclusionNLR can be used as a diagnostic marker of APN with DMSA defect, showing better results than those of conventional markers for VUR prediction.

Indexed as

ChildNeutrophil-lymphocyte ratioPyelonephritisUrinary tract infectionsVesico-ureteral reflux

Identifiers

PMID27186221
PMCPMC4865625
OpenAlexW2297885944

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.