Evidence map›Paper›PMID 35155834›Full record

ArticleHealth science reports2022

Neutrophil-to-lymphocyte ratio and D-dimer are biomarkers of death risk in severe COVID-19: A retrospective observational study.

Patrícia Oliveira Cunha Terra, Camila Dermínio Donadel, Luciana Correa Oliveira, Mayra Gonçalves Menegueti, Maria Auxiliadora-Martins, Rodrigo Tocantins Calado, Gil Cunha De Santis

Open access · goldAbstract read
In one paragraph

Article in Health science reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Review
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  9. Leukocyte ratios are useful early predictors for adverse outcomes of COVID-19 infection.Revista do Instituto de Medicina Tropical de Sao Paulo · 2022
    Article
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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

7 authors at 1 institution in 1 country.

Patrícia Oliveira Cunha TerraDepartment of Medical Imaging, Hematology, and Oncology Ribeirão Preto Medical School, University of São Paulo São Paulo Brazil.ORCID https://orcid.org/0000-0001-5322-6933
Camila Dermínio DonadelDepartment of Medical Imaging, Hematology, and Oncology Ribeirão Preto Medical School, University of São Paulo São Paulo Brazil.
Luciana Correa OliveiraDepartment of Medical Imaging, Hematology, and Oncology Ribeirão Preto Medical School, University of São Paulo São Paulo Brazil.
Mayra Gonçalves MeneguetiRibeirão Preto Nursing School University of São Paulo São Paulo Brazil.
Maria Auxiliadora-MartinsDivision of Intensive Medicine Ribeirão Preto Medical School, University of São Paulo São Paulo Brazil.
Rodrigo Tocantins CaladoDepartment of Medical Imaging, Hematology, and Oncology Ribeirão Preto Medical School, University of São Paulo São Paulo Brazil.
Gil Cunha De SantisDepartment of Medical Imaging, Hematology, and Oncology Ribeirão Preto Medical School, University of São Paulo São Paulo Brazil.
Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsOver 4 million deaths from coronavirus disease (COVID)-19 have been reported in the world. Several biomarkers have been identified that predict disease severity, but there is still a need to identify biomarkers for death risk in severe COVID-19. We aim to define amongst the biomarkers already identified those which are mostly associated with increased death rate in patients with severe COVID-19.

methodsIn this retrospective study conducted in three public hospitals linked to the Medical School of Ribeirão Preto, Brazil, patients with severe COVID-19 were evaluated regarding biomarkers (neutrophil-to-lymphocyte ratio-NLR, D-dimer, fibrinogen) of death risk, obtained before administration of corticosteroids.

resultsThirty-nine (32.8%) of the 119 patients included (104 [87.4%] on mechanical ventilation) died during hospitalization. Non-survivor group had higher median (range) NLR (12.63 [2.6-115] vs 7.43 [0.43-31.8];

conclusionHigh NLR and D-dimer, especially when combined, are predictors of death risk for patients with severe COVID-19 and should be incorporated into their evaluation.

Indexed as

biomarkersCOVID‐19critical careD‐dimerneutrophil‐to‐lymphocyte ratio

Identifiers

PMID35155834
PMCPMC8827272
OpenAlexW4210835950

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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.