Evidence map›Paper›PMID 32070366›Full record

ArticleJournal of neuroinflammation2020

The association of neutrophil-lymphocyte ratio and lymphocyte-monocyte ratio with 3-month clinical outcome after mechanical thrombectomy following stroke.

Danielle Lux, Vafa Alakbarzade, Luke Bridge, Camilla N Clark, Brian Clarke, Liqun Zhang, Usman Khan, Anthony C Pereira

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 4 pooled it
11.9field-weighted citation impact, top 1% 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

69 citing papers in PubMed, 4 syntheses or guidelines pooled it, 132 citations in OpenAlex.

  1. Pooled it
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  4. The Diagnostic Value of the Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio for Deep Venous Thrombosis: A Systematic Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  5. Trial
  6. Systemic inflammatory profiles associated with early EEG abnormalities following ischemic stroke: a cohort study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Observational
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9 more citing papers are in PubMed but not listed here.

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

8 authors at 2 institutions in 1 country.

Danielle LuxDepartment of Neurology, St George's University Hospitals NHS Foundation Trust, London, SW17 0QT, UK.
Vafa AlakbarzadeDepartment of Neurology, Royal Cornwall Hospitals NHS Trust, Truro, TR1 3LQ, UK. vafa.alakbarzade.10@ucl.ac.uk.ORCID http://orcid.org/0000-0002-1661-4280
Luke BridgeDepartment of Neurology, St George's University Hospitals NHS Foundation Trust, London, SW17 0QT, UK.
Camilla N ClarkDepartment of Neurology, St George's University Hospitals NHS Foundation Trust, London, SW17 0QT, UK.
Brian ClarkeDepartment of Neurology, St George's University Hospitals NHS Foundation Trust, London, SW17 0QT, UK.
Liqun ZhangDepartment of Neurology, St George's University Hospitals NHS Foundation Trust, London, SW17 0QT, UK.
Usman KhanDepartment of Neurology, St George's University Hospitals NHS Foundation Trust, London, SW17 0QT, UK.
Anthony C PereiraDepartment of Neurology, St George's University Hospitals NHS Foundation Trust, London, SW17 0QT, UK.
St George’s University Hospitals NHS Foundation Trust · GBRoyal Cornwall Hospital Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimNeutrophil-lymphocyte ratio (NLR) and lymphocyte-monocyte ratio (LMR) are associated with clinical outcomes in malignancy, cardiovascular disease and stroke. Here we investigate their association with outcome after acute ischaemic stroke treated by mechanical thrombectomy (MT).

methodsPatients were selected using audit data for MT for acute anterior circulation ischaemic stroke at a UK centre from May 2016-July 2017. Clinical and laboratory data including neutrophil, lymphocyte and monocyte count tested before and 24 h after MT were collected. Poor functional outcome was defined as modified Rankin Scale (mRS) of 3-6 at 3 months. Multivariable logistic regression analyses were performed to explore the relationship of NLR and LMR with functional outcome.

resultsOne hundred twenty-one patients (mean age 66.4 ± 16.7, 52% female) were included. Higher NLR (adjusted OR 0.022, 95% CI, 0.009-0.34, p = 0.001) and lower LMR (adjusted OR - 0.093, 95% CI (- 0.175)-(- 0.012), p = 0.025) at 24-h post-MT were significantly associated with poorer functional outcome when controlling for age, baseline NIHSS score, infarct size, presence of good collateral supply, recanalisation and symptomatic intracranial haemorrhage on multivariate logistic regression. Admission NLR or LMR were not significant predictors of mRS at 3 months. The optimal cut-off values of NLR and LMR at 24-h post-MT that best discriminated poor outcome were 5.5 (80% sensitivity and 60% specificity) and 2.0 (80% sensitivity and 50% specificity), respectively on receiver operating characteristic curve analysis.

conclusionNLR and LMR tested at 24 h after ictus or intervention may predict 3-month functional outcome.

Indexed as

AgedAged, 80 and overFemaleHumansLymphocyte CountLymphocytesMaleMiddle AgedMonocytesNeutrophilsProspective StudiesRetrospective StudiesStrokeThrombectomyTreatment OutcomeLymphocyte-monocyte ratioMechanical thrombectomyNeutrophil-lymphocyte ratioStroke

Identifiers

PMID32070366
PMCPMC7026966
OpenAlexW3009852948

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.