Evidence map›Paper›PMID 34037246›Full record

ArticleClinical cardiology2021

Association between the platelet-lymphocyte ratio and short-term mortality in patients with non-ST-segment elevation myocardial infarction.

Zhongyuan Meng, Jiaqiang Yang, Jianfu Wu, Xifeng Zheng, Yaxin Zhao, Yan He

Open access · goldAbstract read
In one paragraph

Article in Clinical cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. [A nomogram based on systemic inflammation markers can predict adverse outcomes in patients with heart failure].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2022
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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

6 authors at 1 institution in 1 country.

Zhongyuan MengClinical Medical College, Guangxi Medical University, Nanning, Guangxi, China.ORCID https://orcid.org/0000-0003-1145-1520
Jiaqiang YangClinical Medical College, Guangxi Medical University, Nanning, Guangxi, China.
Jianfu WuClinical Medical College, Guangxi Medical University, Nanning, Guangxi, China.
Xifeng ZhengClinical Medical College, Guangxi Medical University, Nanning, Guangxi, China.
Yaxin ZhaoClinical Medical College, Guangxi Medical University, Nanning, Guangxi, China.
Yan HeDivision of Cardiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Guangxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have shown that inflammation plays an important role in atherosclerosis and cardiovascular disease. Platelet to lymphocyte ratio (PLR) has been reported as a novel inflammatory marker. However, it is not clear whether PLR is associated with short-term all-cause mortality in critically ill patients with non-ST-segment elevation myocardial infarction (NSTEMI).

methodsThe data for the study is from the Medical Information Mart for Intensive Care III database. The primary outcome in our study was 28-day mortality. Kapan-Meier curve, lowess smoother curve, and multivariate Cox regression models were used to determine whether the association between PLR and 28-day mortality of critically ill patients with NSTEMI.

resultsA total of 1273 critically ill patients with NSTEMI were included in this analysis. Kapan-Meier curve and lowess smoother curve show that high PLR is associated with an increased risk of 28-day all-cause mortality. The study population is divided into two groups according to the cut-off value of PLR level. In the Cox model, high PLR levels (PLR≥195.8) were significantly associated with increased 28-day mortality (HR 1.54; 95%CI 1.09-2.18, p = .013). In quartile analyses, the HR (95% CI) for the third (183 ≤ PLR < 306) and fourth quartile (PLR≥306) was 1.55 (1.05-2.29) and 1.61 (1.03-2.52), respectively, compared to the reference group(111 ≤ PLR < 183). In subgroup analyses, there is no interaction effect in most of the subgroups except for respiratory failure and vasopressor use.

conclusionHigh PLR is associated with an increased risk of short-term mortality in critically ill patients with NSTEMI.

Indexed as

Myocardial InfarctionNon-ST Elevated Myocardial InfarctionST Elevation Myocardial InfarctionBlood PlateletsHumansLymphocytesPrognosisRetrospective StudiesinflammationNSTEMIplatelet to lymphocyte ratioshort-term mortality

Identifiers

PMID34037246
PMCPMC8259151
OpenAlexW3164529289

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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.