Evidence map›Paper›PMID 31901184›Full record

ArticleJournal of clinical laboratory analysis2020

Role of hematological parameters in the diagnosis of influenza virus infection in patients with respiratory tract infection symptoms.

Qingzhen Han, Xiaomin Wen, Lin Wang, Xiu Han, Yimin Shen, Jun Cao, Qunxin Peng, Jie Xu, Lina Zhao, Jun He and 1 more

Abstract read
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Article in Journal of clinical laboratory analysis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
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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

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3 · Its place in the literature

Who cites it

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

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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

11 authors.

Qingzhen HanCenter of Clinical Laboratory, The First Affiliated Hospital of Soochow University, Suzhou, China.
Xiaomin WenDepartment of Clinical Laboratory, Shiqian People's Hospital, Tongren, China.
Lin WangCenter of Clinical Laboratory, The First Affiliated Hospital of Soochow University, Suzhou, China.
Xiu HanDepartment of Clinical Laboratory, Suzhou Dushuhu Public Hospital, Suzhou, China.ORCID https://orcid.org/0000-0003-1505-7379
Yimin ShenCenter of Clinical Laboratory, The First Affiliated Hospital of Soochow University, Suzhou, China.
Jun CaoCenter of Clinical Laboratory, The First Affiliated Hospital of Soochow University, Suzhou, China.
Qunxin PengCenter of Clinical Laboratory, The First Affiliated Hospital of Soochow University, Suzhou, China.
Jie XuCenter of Clinical Laboratory, The First Affiliated Hospital of Soochow University, Suzhou, China.
Lina ZhaoCenter of Clinical Laboratory, The First Affiliated Hospital of Soochow University, Suzhou, China.
Jun HeCenter of Clinical Laboratory, The First Affiliated Hospital of Soochow University, Suzhou, China.
Hong YuanDepartment of Clinical Laboratory, Shiqian People's Hospital, Tongren, China.

Funding

Jiangsu Province Medical Innovation Team CXTDB2017009National Natural Science Foundation of China 81501425National Natural Science Foundation of China 81702065Natural Science Foundation of Jiangsu province BK20170364
6 · The paper itself

Abstract

backgroundThe differential diagnoses of patients hospitalized for respiratory infections due to influenza virus vs other pathogens are challenging. Our study investigated whether hematological parameters such as neutrophil (N), lymphocyte (L), platelet (PLT), and neutrophil-to-lymphocyte ratio (NLR) contributed in diagnosing influenza virus infections and in discriminating other respiratory infections.

methodsWe retrospectively analyzed the laboratory characteristics of 307 patients with respiratory infections caused by influenza/non-influenza virus and bacteria. The diagnostic abilities of hematological indexes were evaluated in the patients compared with 100 healthy people.

resultsThe hematological parameters in patients with influenza virus infection were dramatically altered compared with those in the controls. Additionally, among the systemic inflammatory markers, the sensitivity of NLR for influenza detection was higher than that of N and L. PLT was significantly lower in influenza virus-positive infection than in influenza virus-negative infection. Moreover, when patients with influenza virus infection were cured, PLT returned to a normal level. The red blood cell (RBC) and hemoglobin (Hb) levels of influenza virus infection were higher than those of bacterial infection. Compared with traditional N and L, NLR and platelet-to-neutrophil (PNR) showed greater significance between influenza virus and bacterial infection (P < .01).

conclusionNeutrophil-to-lymphocyte ratio with high sensitivity is a preferable diagnostic tool to screen influenza virus-infected patients than N and L. PLT accounts in the differential diagnoses of respiratory infections due to influenza virus and other pathogens among patients. In addition, RBC, Hb, NLR, and PNR can significantly differentiate between influenza virus infections and bacterial infections.

Indexed as

Blood Cell CountAdolescentAdultAgedAged, 80 and overBacterial InfectionsFemaleHospitalizationHumansInfluenza, HumanMaleMiddle AgedRespiratory Tract InfectionsRetrospective StudiesSensitivity and SpecificityYoung Adulthematological parametersinfluenza virus infectionneutrophil-to-lymphocyte ratioplateletrespiratory tract infection

Identifiers

PMID31901184
PMCPMC7246361

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