Evidence map›Paper›PMID 33945171›Full record

ArticleJournal of clinical laboratory analysis2021

Platelet-Lymphocyte ratio is a predictor for the development of no-reflow phenomenon in patients with ST-segment elevation myocardial infarction after thrombus aspiration.

Oktay Şenöz, Sadık Volkan Emren, Ahmet Erseçgin, Zeynep Yapan Emren, İlker Gül

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Article in Journal of clinical laboratory analysis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

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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

9 citing papers in PubMed, 2 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

5 authors.

Oktay ŞenözDepartment of Cardiology, Bakırcay University Cigli Training and Research Hospital, Izmir, Turkey.ORCID https://orcid.org/0000-0002-3847-7598
Sadık Volkan EmrenDepartment of Cardiology, Katip Çelebi University Faculty of Medicine, Izmir, Turkey.
Ahmet ErseçginDepartment of Cardiology, Bakırcay University Cigli Training and Research Hospital, Izmir, Turkey.
Zeynep Yapan EmrenDepartment of Cardiology, Bakırcay University Cigli Training and Research Hospital, Izmir, Turkey.
İlker GülDepartment of Cardiology, Tepecik Training and Research Hospital, Izmir, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backroundWe aimed to evaluate the utility of the preprocedural platelet-lymphocyte ratio (PLR) for predicting the no-reflow phenomenon after thrombus aspiration during percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI).

methodWe retrospectively analyzed postprocedural thrombolysis in myocardial infarction (TIMI) flow grades and myocardial blush grades (MBG) of 247 patients who underwent a PCI procedure with thrombus aspiration.We divided these patients into two groups according to whether they had no-reflow (TIMI < 3, MBG < 2) or not (TIMI 3, MBG ≥ 2).

resultsNo-reflow developed in 43 (17%) patients.Preprocedural PLR was significantly higher in the no-reflow group (183.76 ± 56.65 vs 118.32 ± 50.42 p < 0.001).Independent predictors of no-reflow were as follows: higher preprocedural platelet-lymphocyte ratio (PLR) (OR = 1.018; 95% CI = 1.004, 1.033; p = 0.013),mean corpuscular volume (MCV) (OR = 1.118; 95% CI = 1.024, 1.220; p = 0.012) and SYNTAX Score-2 (OR = 1.073; 95% CI = 1.005, 1.146; p = 0.036). PLR of 144 had 79% sensitivity and 75% specificity for the prediction of no-reflow.

conclusionPLR is a reliable predictor for no-reflow in STEMI patients undergoing thrombus aspiration.

Indexed as

Blood PlateletsFemaleFollow-Up StudiesHumansLymphocytesMaleMiddle AgedNo-Reflow PhenomenonPercutaneous Coronary InterventionPrognosisRetrospective StudiesST Elevation Myocardial InfarctionSuctionThrombosismanual thrombus aspirationno reflowplatelet to lymphocyte ratioprimary percutaneous coronary interventionST-segment elevation myocardial infarction

Identifiers

PMID33945171
PMCPMC8183944

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