Evidence map›Paper›PMID 36225933›Full record

ArticleFrontiers in immunology2022

Platelet-to-lymphocyte ratio at 24h after thrombolysis is a prognostic marker in acute ischemic stroke patients.

Ying-Ying Sun, Mei-Qi Wang, Yan Wang, Xin Sun, Yang Qu, Hong-Jing Zhu, Si-Ji Wang, Xiu-Li Yan, Hang Jin, Peng Zhang and 2 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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

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3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

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  15. The metabolic score for insulin resistance as a predictor of clinical outcome in stroke patients treated by intravenous thrombolysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

12 authors.

Ying-Ying SunStroke Center, Department of Neurology, the First Hospital of Jilin University, Chang Chun, Jilin, China.
Mei-Qi WangStroke Center, Department of Neurology, the First Hospital of Jilin University, Chang Chun, Jilin, China.
Yan WangStroke Center, Department of Neurology, the First Hospital of Jilin University, Chang Chun, Jilin, China.
Xin SunStroke Center, Department of Neurology, the First Hospital of Jilin University, Chang Chun, Jilin, China.
Yang QuStroke Center, Department of Neurology, the First Hospital of Jilin University, Chang Chun, Jilin, China.
Hong-Jing ZhuStroke Center, Department of Neurology, the First Hospital of Jilin University, Chang Chun, Jilin, China.
Si-Ji WangStroke Center, Department of Neurology, the First Hospital of Jilin University, Chang Chun, Jilin, China.
Xiu-Li YanStroke Center, Department of Neurology, the First Hospital of Jilin University, Chang Chun, Jilin, China.
Hang JinStroke Center, Department of Neurology, the First Hospital of Jilin University, Chang Chun, Jilin, China.
Peng ZhangStroke Center, Department of Neurology, the First Hospital of Jilin University, Chang Chun, Jilin, China.
Yi YangStroke Center, Department of Neurology, the First Hospital of Jilin University, Chang Chun, Jilin, China.
Zhen-Ni GuoStroke Center, Department of Neurology, the First Hospital of Jilin University, Chang Chun, Jilin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The changes in the platelet-to-lymphocyte ratio (PLR) before and after recombinant tissue plasminogen activator (rtPA) treatment and the time point at which the PLR is a potentially valuable prognostic predictor in patients wit ischemic stroke remain largely unknown. Therefore, the purpose of this study was to explore the characteristics of the PLR and evaluate their effects on clinical outcomes before and 24 h after rtPA treatment. Methods: This study included 741 consecutive patients with acute ischemic stroke who underwent intravenous thrombolysis with rtPA. We collected data on demographics, vascular risk factors, medication history, and other clinical information pertaining to all patients. Specifically, blood samples for PLR measurement were collected on admission and 24 h after stroke. The outcome was assessed by using the Modified Rankin Scale (mRS) at 3 months and whether death occurred within 3 months or not. Univariate and multivariate logistic regression analysis was used to assess the association of the PLR with the risks of poor outcome (mRS>2) and death. An individualized prediction model was established to predict poor outcome. Results: Of the 741 patients, 255 (34.4%) had poor outcome, and 43 (5.8%) died. The PLR significantly increased 24 h after rtPA in patients with poor outcome and death. Logistic analysis revealed that higher PLR 24 h after rtPA was independently associated with increased risks of poor outcome and death. However, the PLR on admission was not associated with the risks of poor outcome and death. The individualized prediction model for poor outcome based on the 24-h PLR exhibited favorable discrimination (areas under the curves of the training and validation groups: 0.743 and 0.729, respectively), calibration ( Conclusions: We found the PLR to be a variable that potentially predicts the risks of poor outcome and death in patients with acute ischemic stroke 24 h after rtPA; however, it cannot make the same prediction on admission.

Indexed as

Ischemic StrokeTissue Plasminogen ActivatorFibrinolytic AgentsHumansLymphocytesPrognosisThrombolytic TherapyFibrinolytic AgentsTissue Plasminogen Activatoracute ischemic strokedeathintravenous thrombolysisoutcomeplatelet-to-lymphocyte ratio

Identifiers

PMID36225933
PMCPMC9549955

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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.