Evidence map›Paper›PMID 34398014›Full record

ArticleMedicine2021

The clinical significance of neutrophil-lymphocyte ratio in patients treated with hemodialysis complicated with lung infection.

Ling-Lin Li, Yu-Qiong Yang, Min Qiu, Li Wang, Hong-Ling Yuan, Ren-Chao Zou

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

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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 2 institutions in 2 countries.

Ling-Lin LiDepartment of Nephrology, The Third People's Hospital of Yunnan Province, Kunming, Yunnan, P.R. China.
Yu-Qiong YangDepartment of Nephrology, The Third People's Hospital of Yunnan Province, Kunming, Yunnan, P.R. China.
Min QiuDepartment of Nephrology, The Third People's Hospital of Yunnan Province, Kunming, Yunnan, P.R. China.
Li WangDepartment of Nephrology, The Third People's Hospital of Yunnan Province, Kunming, Yunnan, P.R. China.
Hong-Ling YuanDepartment of Nephrology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, P.R China.
Ren-Chao ZouDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, P.R China.ORCID 0000-0002-8598-5528
Kunming Medical University · CNThird People's Hospital of Yunnan Province · CN

Funding

National Natural Science Foundation of China No. 81460649The Medical Leading Talent Project of Yunnan Province No. L-201606
6 · The paper itself

Abstract

abstractThe goal of this work was to investigate the potential significance of neutrophil-lymphocyte ratio (NLR) in patients treated with maintenance hemodialysis (MHD).Herein, we retrospectively reviewed the electronic medical records of 100 patients with end-stage renal failure who were treated with MHD. All patients enrolled in this study met the inclusion criteria and were followed. The differences in each indicator between the two groups were compared using the Wilcoxon rank-sum test. On the other hand, Spearman correlation and logistic regression analysis were used to explore the correlation and risk factors for pulmonary infection between NLR and other indicators. Finally, we determined the optimal cut-off values for NLR, hypersensitive c-reactive protein (hs-CRP), and procalcitonin (PCT) diagnosis of pulmonary infection using the receiver operating characteristic curve.We found that NLR was positively correlated with age, PCT, hs-CRP, and hospital stay, but negatively correlated with hemoglobin, red blood cell, and Albumin. The expression levels of PCT, hs-CRP, and NLR in the infected group decreased significantly than those before treatment. Multiple regression analysis revealed that NLR is an important independent risk factor for MHD patients with pulmonary infection. Additionally, receiver operating characteristic curve analysis showed that the sensitivity, specificity, and area under the curve were 87.76%, 100%, and 0.920 when using NLR combined with hs-CRP to predict pulmonary infection in MHD patients, whereas that of NLR combined with PCT were 87.76%, 96.08%, and 0.944, respectively.Findings from this study suggested that NLR is an independent risk factor for MHD patients with pulmonary infection, which can effectively predict pulmonary infection. Moreover, sensitivity and specificity were greatly enhanced when using NLR combined with PCT/hs-CRP to predict pulmonary infection in MHD patients.

Indexed as

AdultChinaFemaleHumansKidney Failure, ChronicLeukocyte CountLymphocytesMaleMiddle AgedNeutrophilsPneumoniaRenal DialysisRetrospective StudiesROC Curve

Identifiers

PMID34398014
PMCPMC8294898
OpenAlexW3188736588

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.