Evidence map›Paper›PMID 30662678›Full record

ArticleAmerican journal of translational research2018

T-lymphocyte subsets as a predictive biomarker for stroke-associated pneumonia.

Hong-Xuan Feng, Yao Cheng, Wei Zhu, Ling-Ling Jiang, Xiao-Feng Dong, Qian Gui, Guan-Hui Wu, Qin-Rong Xu, Ming-Qiang Shen, Qing-Zhang Cheng

Open access · greenAbstract read
In one paragraph

Article in American journal of translational research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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  6. CD4Immunity, inflammation and disease · 2023
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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

10 authors at 1 institution in 1 country.

Hong-Xuan FengDepartment of Neurology, Suzhou Hospital Affiliated to Nanjing Medical University (Suzhou Municipal Hospital) Suzhou 215002, China.
Yao ChengDepartment of Neurology, Suzhou Hospital Affiliated to Nanjing Medical University (Suzhou Municipal Hospital) Suzhou 215002, China.
Wei ZhuDepartment of Neurology, Suzhou Hospital Affiliated to Nanjing Medical University (Suzhou Municipal Hospital) Suzhou 215002, China.
Ling-Ling JiangDepartment of Neurology, Suzhou Hospital Affiliated to Nanjing Medical University (Suzhou Municipal Hospital) Suzhou 215002, China.
Xiao-Feng DongDepartment of Neurology, Suzhou Hospital Affiliated to Nanjing Medical University (Suzhou Municipal Hospital) Suzhou 215002, China.
Qian GuiDepartment of Neurology, Suzhou Hospital Affiliated to Nanjing Medical University (Suzhou Municipal Hospital) Suzhou 215002, China.
Guan-Hui WuDepartment of Neurology, Suzhou Hospital Affiliated to Nanjing Medical University (Suzhou Municipal Hospital) Suzhou 215002, China.
Qin-Rong XuDepartment of Neurology, Suzhou Hospital Affiliated to Nanjing Medical University (Suzhou Municipal Hospital) Suzhou 215002, China.
Ming-Qiang ShenDepartment of Neurology, Suzhou Hospital Affiliated to Nanjing Medical University (Suzhou Municipal Hospital) Suzhou 215002, China.
Qing-Zhang ChengDepartment of Neurology, Suzhou Hospital Affiliated to Nanjing Medical University (Suzhou Municipal Hospital) Suzhou 215002, China.
Suzhou Municipal Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to facilitate the clinical treatment and prognosis of stroke-associated pneumonia (SAP) by examining changes in T-lymphocyte subsets. Stroke patients admitted in Suzhou Hospital between 2014 and 2016 participated in the study. Patients were divided into a pneumonia group (50 patients) and a non-pneumonia group (254 patients) based on a diagnosis of pneumonia. Information regarding risk factors for ischemic stroke was collected from all patients using a questionnaire. Compared with non-SAP patients, SAP patients were older, dysphagic, smokers, had higher NIH stroke scale (NIHSS) scores and neutrophil: lymphocyte ratio, had higher leukocyte, neutrophil, and CD8 levels, had lower CD3, CD4, and lymphocyte levels, and had a lower CD4:CD8 ratio. Patients with a higher NIHSS score had higher CD8 levels, lower CD3 and CD4 levels, and a lower CD4:CD8 ratio. No significant differences in T-lymphocyte subsets were found between the left and right cerebral hemispheres. After adjusting for other variables, smoking, dysphagia, NIHSS score, and CD4:CD8 ratio were positively associated with SAP. The areas under the receiver operating characteristic curve for dysphagia, NIHSS score, CD4:CD8 ratio, CD4:CD8 ratio + NIHSS score, and Dysphagia+ CD4:CD8 ratio + NIHSS score were 0.583 (95% CI: 0.490-0.675), 0.791 (95% CI: 0.724-0.859), 0.676 (95% CI: 0.593-0.759), 0.846 (95% CI: 0.790-0.902), and 0.867 (95% CI: 0.815-0.918), respectively. A few T-lymphocyte subsets may increase susceptibility to pneumonia after acute ischemic stroke. Thus, the detection of T-lymphocyte subsets may predict the risk of SAP in such patients.

Indexed as

acute ischemic strokepneumoniapredictive biomarkerT-lymphocyte

Identifiers

PMID30662678
PMCPMC6325496
OpenAlexW3003335146

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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.