Evidence map›Paper›PMID 30504778›Full record

ArticleScientific reports2018

The delta neutrophil index predicts development of multiple organ dysfunction syndrome and 30-day mortality in trauma patients admitted to an intensive care unit: a retrospective analysis.

Taeyoung Kong, Yoo Seok Park, Hye Sun Lee, Sinae Kim, Jong Wook Lee, Je Sung You, Hyun Soo Chung, Incheol Park, Sung Phil Chung

2 registry-linked trialsAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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.

NCT05033249 completednot on this mapstarted 2019, after this paper: background citation

The Utility of Immature Granulocyte Count and Percentage on the Prediction of Acute Appendicitis in the Suspected Acute Appendicitis According to the ALVARADO Scoring System: A Retrospective Cohort Study

TypeobservationalSponsorKahramanmaras Sutcu Imam UniversityRan2019 to 2019Enrolled186ConditionsAcute AppendicitisArmsImmature granulocyte count, Immature granulocyte percentage
NCT05441787 completednot on this mapstarted 2022, after this paper: background citation

Comparison of Inflammatory Markers (Serum Mitochondrial DNA, Delta Neutrophil Index, Inflammatory Cytokines) According to the Injury Severity, and Development of Risk Prediction Model Using Inflammatory Markers for Trauma Patients

TypeobservationalSponsorWonju Severance Christian HospitalRan2022 to 2024Enrolled89ConditionsTrauma Injury, Trauma, Multiple
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
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  10. Neutrophil-derived long noncoding RNA IL-7R predicts development of multiple organ dysfunction syndrome in patients with trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  11. Article
  12. Observational
  13. Immature Granulocyte Count and Percentage as New Predictors of Mortality in Patients with Upper Gastrointestinal Bleeding.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020
    Article
  14. Article
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

9 authors.

Taeyoung KongDepartment of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Yoo Seok ParkDepartment of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Hye Sun LeeDepartment of Research Affairs, Biostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0001-6328-6948
Sinae KimDepartment of Research Affairs, Biostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, Republic of Korea.
Jong Wook LeeDepartment of Laboratory Medicine, Konyang University Hospital, Daejeon, Republic of Korea.
Je Sung YouDepartment of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea. youjsmd@yuhs.ac.ORCID http://orcid.org/0000-0002-2074-6745
Hyun Soo ChungDepartment of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Incheol ParkDepartment of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Sung Phil ChungDepartment of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

No studies have examined the role of delta neutrophil index (DNI) reflecting on immature granulocytes in determining the severity of multiple organ dysfunction (MODS) and short-term mortality. This study investigated the utility of the automatically calculated DNI as a prognostic marker of severity in trauma patients who were admitted to an intensive care unit (ICU). We retrospectively analysed prospective data of eligible patients. We investigated 366 patients. On multivariable logistic regression analysis, higher DNI values at 12 h (odds ratio [OR], 1.079; 95% confidence interval [CI]: 1.037-1.123; p < 0.001) and 24 h were strong independent predictors of MODS development. Multivariable Cox regression analysis revealed that increased DNI at 12 h (hazard ratio [HR], 1.051; 95% CI, 1.024-1.079; p < 0.001) was a strong independent predictor of short-term mortality. The increased predictability of MODS after trauma was closely associated with a DNI > 3.25% at 12 h (OR, 12.7; 95% CI: 6.12-26.35; p < 0.001). A cut-off of >5.3% at 12 h was significantly associated with an increased risk of 30-day mortality (HR, 18.111; 95% CI, 6.988-46.935; p < 0.001). The DNI is suitable for rapid and simple estimation of the severity of traumatic injury using an automated haematologic analyser without additional cost or time.

Indexed as

Leukocyte CountNeutrophilsAdultAgedBiomarkersCritical CareFemaleHumansIntensive Care UnitsMaleMiddle AgedMultiple Organ FailurePrognosisRetrospective StudiesROC CurveTime FactorsBiomarkers

Identifiers

PMID30504778
PMCPMC6269472

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Registered trials

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.