Evidence map›Paper›PMID 34640361›Full record

ArticleJournal of clinical medicine2021

Neutrophil-to-Lymphocyte Ratio Could Predict Outcome in Patients Presenting with Acute Limb Ischemia.

Maurizio Taurino, Francesco Aloisi, Flavia Del Porto, Martina Nespola, Tommaso Dezi, Chiara Pranteda, Luigi Rizzo, Pasqualino Sirignano

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 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 1 institution in 1 country.

Maurizio TaurinoVascular Surgery Unit, Department of Molecular and Clinical Medicine, Sant'Andrea Hospital, "Sapienza" University of Rome, Via di Grottarossa, 1035/1039, 00189 Rome, Italy.
Francesco AloisiVascular Surgery Unit, Department of Molecular and Clinical Medicine, Sant'Andrea Hospital, "Sapienza" University of Rome, Via di Grottarossa, 1035/1039, 00189 Rome, Italy.ORCID 0000-0001-9890-9199
Flavia Del PortoInternal Medicine Unit, Department of Surgery "Paride Stefanini", Sant'Andrea Hospital, "Sapienza" University of Rome, Via di Grottarossa, 1035/1039, 00189 Rome, Italy.ORCID 0000-0001-9041-3543
Martina NespolaVascular Surgery Unit, Department of Molecular and Clinical Medicine, Sant'Andrea Hospital, "Sapienza" University of Rome, Via di Grottarossa, 1035/1039, 00189 Rome, Italy.
Tommaso DeziVascular Surgery Unit, Department of Molecular and Clinical Medicine, Sant'Andrea Hospital, "Sapienza" University of Rome, Via di Grottarossa, 1035/1039, 00189 Rome, Italy.
Chiara PrantedaVascular Surgery Unit, Department of Molecular and Clinical Medicine, Sant'Andrea Hospital, "Sapienza" University of Rome, Via di Grottarossa, 1035/1039, 00189 Rome, Italy.
Luigi RizzoVascular Surgery Unit, Department of Molecular and Clinical Medicine, Sant'Andrea Hospital, "Sapienza" University of Rome, Via di Grottarossa, 1035/1039, 00189 Rome, Italy.
Pasqualino SirignanoVascular Surgery Unit, Department of Surgery "Paride Stefanini", Sant'Andrea Hospital, "Sapienza" University of Rome, Via di Grottarossa, 1035/1039, 00189 Rome, Italy.ORCID 0000-0002-1312-1915
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcute limb ischemia (ALI), classified according to Rutherford's classification (RC), is a vascular emergency burdened by high rates of mortality and morbidity. The need of new and different prognostic values for ALI has emerged, and, among all, the neutrophil-to-lymphocyte ratio (NLR) has been proven as a strong outcome predictor in vascular disease. The aim of this study is to investigate the role of preoperative NLR in predicting clinical outcomes in patients presenting acute limb ischemia. MATERIAL AND

methodsA single-center retrospective study was conducted between January 2015 and December 2019. Demographic and clinical characteristics, procedural technical aspects, postoperative and early (up to 30-day) outcomes were recorded. All enrolled patients were categorized into low- and high-NLR at baseline, using a cut-off value of 5. Study outcomes were 30-day all-cause mortality and amputation rates.

resultsA total of 177 ALI patients were included in the final analysis (6 RC I, 44 RC IIA, 108 RC IIB, and 19 RC III), 115 males (65%), mean age 78.9 ± 10.4 years. Mean NLR at hospital presentation was 6.65 ± 6.75 (range 0.5-35.4), 108 (61.1%) patients presented a low-NLR, 69 (38.9%) a high-NLR. Immediate technical success was achieved in 90.1% of cases. At 30 days, freedom from amputation and freedom from death rates were 87.1% and 83.6%, respectively. At the univariate analysis, amputation (

conclusionPreoperative NLR value seems to be strongly related to ALI outcomes in this unselected population. The largest series should be evaluated to confirm present results.

Indexed as

acute limb ischemiaamputationbiomarkersneutrophil to lymphocyte ratiovascular medicine

Identifiers

PMID34640361
PMCPMC8509804
OpenAlexW3204282130

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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.