Evidence map›Paper›PMID 33519810›Full record

ArticleFrontiers in immunology2020

Peripheral Immune Cell Ratios and Clinical Outcomes in Seropositive Autoimmune Encephalitis: A Study by the Australian Autoimmune Encephalitis Consortium.

James Broadley, Robb Wesselingh, Udaya Seneviratne, Chris Kyndt, Paul Beech, Katherine Buzzard, Cassie Nesbitt, Wendyl D'Souza, Amy Brodtmann, Tomas Kalincik and 4 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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.

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

24 citing papers in PubMed.

  1. Changes in leukocytes and CRP in different treatments of major depression.Journal of neural transmission (Vienna, Austria : 1996) · 2026
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  5. Preparation and In vitro/In vivo Evaluation of Fingolimod hydrochloride Loaded Polymeric Mixed Nano-Micelles for Treatment of Multiple Sclerosis.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025
    Article
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  8. Review
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  13. Characterization and prognosis of autoimmune encephalitis in the neurological intensive care unit: a retrospective study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Determining an infectious or autoimmune etiology in encephalitis.Annals of clinical and translational neurology · 2022
    Article
  19. Article
  20. 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

14 authors.

James BroadleyDepartment of Neuroscience, Monash University, Melbourne, VIC, Australia.
Robb WesselinghDepartment of Neuroscience, Monash University, Melbourne, VIC, Australia.
Udaya SeneviratneDepartment of Neuroscience, Monash University, Melbourne, VIC, Australia.
Chris KyndtDepartment of Neurosciences, Eastern Health, Melbourne, VIC, Australia.
Paul BeechDepartment of Radiology, Alfred Health, Melbourne, VIC, Australia.
Katherine BuzzardDepartment of Neurosciences, Eastern Health, Melbourne, VIC, Australia.
Cassie NesbittDepartment of Neurology, Alfred Health, Melbourne, VIC, Australia.
Wendyl D'SouzaDepartment of Medicine, St Vincent's Hospital, University of Melbourne, Melbourne, VIC, Australia.
Amy BrodtmannDepartment of Neurosciences, Eastern Health, Melbourne, VIC, Australia.
Tomas KalincikDepartment of Neurology, Melbourne Health, Melbourne, VIC, Australia.
Helmut ButzkuevenDepartment of Neuroscience, Monash University, Melbourne, VIC, Australia.
Terence J O'BrienDepartment of Neuroscience, Monash University, Melbourne, VIC, Australia.
Mastura MonifDepartment of Neuroscience, Monash University, Melbourne, VIC, Australia.
Australian Autoimmune Encephalitis Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To examine the utility of the peripheral blood neutrophil-to-lymphocyte ratio (NLR) and monocyte-to-lymphocyte ratio (MLR) as biomarkers of prognosis in seropositive autoimmune encephalitis (AE). Methods: In this multicenter study, we retrospectively analyzed 57 cases of seropositive AE with hospital admissions between January 2008 and June 2019. The initial full blood examination was used to determine each patients' NLR and MLR. The modified Rankin Scale (mRS) was utilized to assess the patients' follow-up disability at 12 months and then at final follow-up. Primary outcomes were mortality and mRS, while secondary outcomes were failure of first line treatment, ICU admission, and clinical relapse. Univariate and multivariable regression analysis was performed. Results: During initial hospital admission 44.7% of patients had unsuccessful first line treatment. After a median follow-up of 700 days, 82.7% had good functional outcome (mRS ≤2) while five patients had died. On multivariable analysis, high NLR was associated with higher odds of first line treatment failure (OR 1.32, 95% CI 1.03-1.69, p = 0.029). Increased MLR was not associated with any short or long-term outcome. Conclusions: NLR on initial hospital admission blood tests may be provide important prognostic information for cases of seropositive AE. This study demonstrates the potential use of NLR as a prognostic marker in the clinical evaluation of patients with seropositive AE.

Indexed as

BiomarkersLeukocyte CountLymphocyte CountAdolescentAdultAgedAged, 80 and overAustraliaDisease ManagementEncephalitisFemaleHashimoto DiseaseHumansLymphocytesMaleMiddle AgedBiomarkersautoimmune encephalitisbiomarkermonocyte-to-lymphocyte rationeutrophil-to-lymphocyte ratioprognosis

Identifiers

PMID33519810
PMCPMC7840591

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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.