Evidence map›Paper›PMID 34579660›Full record

ArticleBMC pregnancy and childbirth2021

Neutrophil-lymphocyte ratio for the prediction of histological chorioamnionitis in cases of preterm premature rupture of membranes: a case-control study.

Greta Balciuniene, Greta Kvederaite-Budre, Violeta Gulbiniene, Irena Dumalakiene, Rita Viliene, Ingrida Pilypiene, Grazina S Drasutiene, Diana Ramasauskaite

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 35 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

8 authors at 3 institutions in 1 country.

Greta BalciunieneClinic of Obstetrics, and Gynecology, Institute of Clinical Medicine, Faculty of Medicine of Vilnius University, M.K. Ciurlionio st. 21, 03101, Vilnius, Lithuania.
Greta Kvederaite-BudreClinic of Obstetrics, and Gynecology, Institute of Clinical Medicine, Faculty of Medicine of Vilnius University, M.K. Ciurlionio st. 21, 03101, Vilnius, Lithuania.
Violeta GulbinieneClinic of Obstetrics, and Gynecology, Institute of Clinical Medicine, Faculty of Medicine of Vilnius University, M.K. Ciurlionio st. 21, 03101, Vilnius, Lithuania.
Irena DumalakieneDepartment of Immunology, State Research Institute Centre for Innovative Medicine, Santariskiu st. 5, 08410, Vilnius, Lithuania.
Rita VilieneDepartment of Immunology, State Research Institute Centre for Innovative Medicine, Santariskiu st. 5, 08410, Vilnius, Lithuania.
Ingrida PilypieneCenter of Obstetrics and Gynecology, Vilnius University Hospital Santaros Klinikos, Santariskiu st. 2, 08661, Vilnius, Lithuania.
Grazina S DrasutieneClinic of Obstetrics, and Gynecology, Institute of Clinical Medicine, Faculty of Medicine of Vilnius University, M.K. Ciurlionio st. 21, 03101, Vilnius, Lithuania.
Diana RamasauskaiteClinic of Obstetrics, and Gynecology, Institute of Clinical Medicine, Faculty of Medicine of Vilnius University, M.K. Ciurlionio st. 21, 03101, Vilnius, Lithuania. diana.ramasauskaite@santa.lt.
Vilnius University · LTVilnius University Hospital Santariskiu Klinikos · LTState Research Institute Centre for Innovative Medicine · LT

Funding

Lietuvos Mokslo Taryba S-MIP-19-57
6 · The paper itself

Abstract

backgroundThe neutrophil-lymphocyte ratio (NLR) is easily calculated blood test parameter, which can be used as marker to predict many inflammatory disorders. The aim of this study was to assess and compare the NLR in maternal blood with the white blood cell (WBC) count and C-reactive protein (CRP) concentration for the prediction of histological chorioamnionitis.

methodsThis was a case-control study of 137 woman with preterm premature rupture of membranes (PPROM) at a gestational age between 22

resultsPatients with diagnosed histological chorioamnionitis (HCA) had significantly higher levels of WBC, CRP and NLR (p-value < 0.001). Levels of WBC, CRP and NLR predicted HCA with an area under the curve (AUC) of 0.81, 0.81 and 0.89, respectively. NLR had statistically significantly higher AUC than WBC, but no significant difference was found between AUCs of NLR and CRP. The cut-off level of NLR was found to be 5,97, which had a sensitivity of 77 % and a specificity of 95 %.

conclusionNLR has a good predictive value for HCA and could be used as an additional diagnostic marker for predicting histological chorioamnionitis in cases with preterm premature rupture of membranes before 34 weeks of gestation.

Indexed as

Premature Rupture of Fetal MembranesBiomarkersCase-Control StudiesChorioamnionitisC-Reactive ProteinFemaleHumansLeukocyte CountLymphocytesNeutrophilsPregnancySensitivity and SpecificityBiomarkersC-Reactive ProteinchorioamnionitisC-reactive proteinneutrophil-lymphocyte ratiopreterm premature rupture of membraneswhite blood cell

Identifiers

PMID34579660
PMCPMC8474740
OpenAlexW3202258270

What OpenQuestion holds

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LicenceCC BY
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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.