Evidence map›Paper›PMID 28264665›Full record

Observational studyBMC infectious diseases2017

Systemic inflammation-based scores and mortality for all causes in HIV-infected patients: a MASTER cohort study.

Elena Raffetti, Francesco Donato, Salvatore Casari, Filippo Castelnuovo, Laura Sighinolfi, Alessandra Bandera, Franco Maggiolo, Nicoletta Ladisa, Massimo di Pietro, Chiara Fornabaio and 2 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 16% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  11. Inconsistent findings of neutrophil/lymphocyte and platelet/lymphocyte in trauma patients.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
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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

12 authors at 8 institutions in 1 country.

Elena RaffettiUnit of Hygiene, Epidemiology and Public Health, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11, 25123, Brescia, Italy. elena.raffetti@gmail.com.
Francesco DonatoUnit of Hygiene, Epidemiology and Public Health, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Viale Europa 11, 25123, Brescia, Italy.
Salvatore CasariUniversity Division of Infectious and Tropical Diseases, University of Brescia, Brescia, Italy.
Filippo CastelnuovoHospital Division of Infectious and Tropical Diseases, Spedali Civili General Hospital, Brescia, Italy.
Laura SighinolfiClinical Infectious Diseases of "Azienda Ospedaliera S. Anna" of Ferrara, Ferrara, Italy.
Alessandra BanderaClinic of Infectious Diseases, San Gerardo de' Tintori Hospital, Monza, Italy.
Franco MaggioloClinical Infectious Diseases of "Ospedale Papa Giovanni XXIII" of Bergamo, Bergamo, Italy.
Nicoletta LadisaClinic of Infectious Diseases, University of Bari, Bari, Italy.
Massimo di PietroClinical Infectious Diseases of "Azienda Ospedaliera S. Anna" of Ferrara, Ferrara, Italy.
Chiara FornabaioClinical Infectious Diseases of "Istituti Ospitalieri" of Cremona, Cremona, Italy.
Simona DigiambenedettoInstitute of Clinical Infectious Diseases of Catholic University of Rome, Rome, Italy.
Eugenia Quiros-RoldanUniversity Division of Infectious and Tropical Diseases, University of Brescia, Brescia, Italy.
University of Brescia · ITArcispedale Sant'Anna · ITAzienda Ospedaliera San Gerardo · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITIstituti Ospitalieri di Cremona · ITOspedale Papa Giovanni XXIII · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTwo biomarkers, the neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR), have been shown to be indicative of systemic inflammation and predictive of mortality in general population. We aimed to assess the association of NLR and PLR, with risk of death in HIV-infected subjects when also taking account of HIV-related factors.

methodsWe conducted a multicenter Italian cohort study from 2000 to 2012 including HIV-infected subjects naïve at antiretroviral treatment. The associations of NLR and PLR with all-cause mortality were tested by univariate and multivariate analyses using both time independent and dependent Cox proportional hazard models. We also fitted models with a cubic-spline for PLR and NLR to evaluate the possible non-linear relationship between biomarkers values and risk of death.

resultsEight-thousand and two hundred thirty patients (73.1% males) with a mean age of 38.4 years (SD 10.1) were enrolled. During a median follow-up of 3.9 years, 539 patients died. PLR < 100 and ≥ 200, as compared to PLR of 100-200, and NLR ≥ 2, as compared to < 2, were associated with risk of death at both univariate and multivariate analyses. Using multivariate models with restricted cubic-splines, we found a linear relationship of increasing risk of death with increasing values for NRL over 1.1, and an U-shape curve for PLR, with higher mortality risk for values higher or lower than 120.

conclusionsOur data suggest that NLR and PLR can reflect the severity of the underlying systemic disturbance of the inflammatory process and coagulation leading to augmented mortality in HIV positive subjects.

Indexed as

AdultBiomarkersCause of DeathFemaleFollow-Up StudiesHIV InfectionsHumansInflammationItalyLymphocyte CountMaleMiddle AgedNeutrophilsPlatelet CountProportional Hazards ModelsProspective StudiesBiomarkersInflammationMortality for all-causesNeutrophil to lymphocyte ratioPlatelet to lymphocyte ratio

Identifiers

PMID28264665
PMCPMC5339992
OpenAlexW2592509263

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.