Evidence map›Paper›PMID 35468761›Full record

ArticleBMC geriatrics2022

Prognostic value of neutrophile-to-lymphocyte ratio (NLR) and lactate dehydrogenase (LDH) levels for geriatric patients with COVID-19.

Uğur Önal, Muhammet Gülhan, Neşe Demirci, Ahmet Özden, Nazlı Erol, Sema Işık, Sedat Gülten, Fatma Atalay, Nilay Çöplü

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Article in BMC geriatrics, 2022. 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
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Uğur ÖnalDepartment of Infectious Diseases and Clinical Microbiology, Kastamonu Training and Research Hospital, Kastamonu, Turkey. uonal05@gmail.com.
Muhammet GülhanDepartment of Infectious Diseases and Clinical Microbiology, Kastamonu Training and Research Hospital, Kastamonu, Turkey.
Neşe DemirciDepartment of Infectious Diseases and Clinical Microbiology, Kastamonu Training and Research Hospital, Kastamonu, Turkey.
Ahmet ÖzdenDepartment of Radiology, Kastamonu Training and Research Hospital, Kastamonu, Turkey.
Nazlı ErolDepartment of Pulmonary Diseases, Kastamonu Training and Research Hospital, Kastamonu, Turkey.
Sema IşıkDepartment of Internal Medicine, Kastamonu Training and Research Hospital, Kastamonu, Turkey.
Sedat GültenDepartment of Biochemistry, Kastamonu Training and Research Hospital, Kastamonu, Turkey.
Fatma AtalayDepartment of Ear, Nose and Throat, Kastamonu Training and Research Hospital, Kastamonu, Turkey.
Nilay ÇöplüDepartment of Microbiology, Kastamonu Training and Research Hospital, Kastamonu, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimIn this study it was aimed to evaluate the prognostic factors for the geriatric patients with confirmed COVID-19 in a tertiary-care hospital at Kastamonu region of Turkey.

methodPatients (≥65-year-old) who had PCR positivity for COVID-19 between March 2020 and April 2020 in our center were recorded retrospectively. A p value less than 0.05 was considered significant. Ethical committee approval was given from the Bolu University with decision number 2020/176.

resultsThere were a total of 100 patients (44% female). In-hospital mortality was recorded as 7%. In univariate analysis for 1 month mortality, diabetes mellitus (p = 0.038), leucocyte count (p = 0.005), neutrophile count (p = 0.02), neutrophile-to-lymphocyte ratio (NLR) (p < 0.001), thrombocyte-to-lymphocyte ratio (TLR) (p = 0.001), C-reactive protein (CRP) (p = 0.002), lactate dehydrogenase (LDH) (p = 0.001), sequential organ failure assessment (SOFA) score (p = 0.001) and qSOFA score (p = 0.002) were found as independent risk factors. On admission, one point increase of NLR (p = 0.014, odds ratio (OR) = 1.371, 95% CI = 1.067-1.761) and one point increase of LDH (p = 0.047, OR = 1.011, 95% CI = 1.001-1.023) were associated with mortality on day 30 according to logistic regression analysis. The cut-off values were found as > 7.8 for NLR (83.33% sensitivity, 97.7% specificity) and > 300 U/L for LDH (100% sensitivity, 79.31% specificity) regarding the prediction of 30-day mortality.

conclusionIn order to improve clinical management and identify the geriatric patients with COVID-19 who have high risk for mortality, NLR and LDH levels on admission might be useful prognostic tools.

Indexed as

COVID-19AgedFemaleHumansLactate DehydrogenasesLymphocytesMalePrognosisRetrospective StudiesLactate DehydrogenasesCovid-19Geriatric patientsNeutrophile-to-lymphocyte ratio, lactate dehydrogenasePrognostic factors

Identifiers

PMID35468761
PMCPMC9036513

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