Evidence map›Paper›PMID 30916236›Full record

ArticleRevista Brasileira de terapia intensiva2019

Neutrophil-lymphocyte ratio in the early diagnosis of sepsis in an intensive care unit: a case-control study.

Eduarda Cristina Martins, Lilian da Fe Silveira, Karin Viegas, Andrea Diez Beck, Geferson Fioravantti Júnior, Rafael Viegas Cremonese, Priscila Schmidt Lora

Registry-linked trialAbstract read
In one paragraph

Article in Revista Brasileira de terapia intensiva, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05636202 (The Early Predictive Roles of NLR and NE% in In-hospital Mortality of Septic Patients), which is not on this map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
–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.

NCT05636202 completednot on this mapstarted 2022, after this paper: background citation

The Early Predictive Roles of NLR and NE% in In-hospital Mortality of Septic Patients: a Single-center 13-year Retrospective Study

TypeobservationalSponsorUnion Hospital, Tongji Medical College, Huazhong University of Science and TechnologyRan2022 to 2022Enrolled606ConditionsSepsis, InfectionsArmsNo intervention
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  13. Developing Augmented Pro-SOFA and Pro-SAPS Models by Integrating Biomarkers PCT, NLR, and CRP with SOFA and SAPS-III Scores.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
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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

7 authors.

Eduarda Cristina MartinsHospital Mãe de Deus - Porto Alegre (RS), Brasil.
Lilian da Fe SilveiraHospital Mãe de Deus - Porto Alegre (RS), Brasil.
Karin ViegasUniversidade do Vale do Rio dos Sinos - Porto Alegre (RS), Brasil.
Andrea Diez BeckUniversidade do Vale do Rio dos Sinos - Porto Alegre (RS), Brasil.
Geferson Fioravantti JúniorUniversidade do Vale do Rio dos Sinos - Porto Alegre (RS), Brasil.
Rafael Viegas CremoneseHospital Mãe de Deus - Porto Alegre (RS), Brasil.
Priscila Schmidt LoraUniversidade do Vale do Rio dos Sinos - Porto Alegre (RS), Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the neutrophil-lymphocyte ratio as a predictor of sepsis and mortality in patients admitted to an intensive care unit.

methodsCase-control study of adult patients admitted to an intensive care unit. Patients who had sepsis as the reason for admission and who had a previous complete blood count examination were included as case patients. The following statistical analyses were performed: ROC curves, binary logistic regression, and Mann-Whitney and Pearson's chi-square tests. p < 0.05 was considered significant.

resultsThe ROC curve values were 0.62 for neutrophil-lymphocyte ratio, 0.98 for band neutrophils and 0.51 for total leukocytes. The presence of a neutrophil-lymphocyte ratio greater than 5.0, leukocyte count above 12,000mm3/mL and band neutrophil percentage above 10% were risk factors for sepsis; however, only the SAPS 3 and SOFA score were related to patient mortality.

conclusionThe neutrophil-lymphocyte ratio and band neutrophils in combination with other parameters may be markers for the early detection of sepsis in intensive care units.

Indexed as

Intensive Care UnitsAgedBiomarkersCase-Control StudiesEarly DiagnosisFemaleHumansLeukocyte CountLogistic ModelsLymphocytesMaleMiddle AgedNeutrophilsRisk FactorsSepsisBiomarkers

Identifiers

PMID30916236
PMCPMC6443306

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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.