Evidence map›Paper›PMID 37918561›Full record

ArticleIndian heart journal

Comparison of neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII) as marker of adverse prognosis in patients with infective endocarditis.

Sunil Roy Thottuvelil, Manas Chacko, Anup R Warrier, Manoj P Nair, Anil Kumar Rajappan

Abstract read
In one paragraph

Article in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. The impact of thrombocytopenia on mortality in infective endocarditis - aInternational journal of cardiology. Heart & vasculature · 2025
    Review
  6. Evaluation of CHAJournal of clinical medicine · 2025
    Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
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

5 authors.

Sunil Roy ThottuvelilConsultant Interventional Cardiologist, Department of Cardiology, Aster Medcity, Kochi, Kerala, 682027, India. Electronic address: drsunil.roy@asterhospital.com.
Manas ChackoClinical Research Analyst, Department of Clinical Research, Aster Medcity, Kochi, Kerala, 682027, India.
Anup R WarrierConsultant Infectious Disease, Department of Infectious Disease, Aster Medcity, Kochi, Kerala, 682027, India.
Manoj P NairConsultant Cardiac Surgeon, Department of Cardiovascular Surgery, Aster Medcity, Kochi, Kerala, 682027, India.
Anil Kumar RajappanLead Consultant Interventional Cardiologist, Department of Cardiology, Aster Medcity, Kochi, Kerala, 682027, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infective Endocarditis (IE) remains a life-threatening condition and early risk stratification helps us to predict mortality and the need for aggressive treatment. We compared NLR, PLR, and SII, on admission to predict in-hospital mortality. Consecutive IE patients, who met inclusion criteria were analysed. Receiver operating characteristic curve (ROC) analysis was conducted for NLR, PLR, and SII to predict in-hospital mortality. The median value of NLR was 19.6 (10.1-27) in patients with mortality, and 5.4 (3.2-8.5) in alive patients. The median value of PLR and SII were comparable in both groups. The area under the ROC curve of NLR showed a significant value of 0.83 (p = 0.001). A Kaplan Meier survival analysis for patients taking a cut-off value of NLR (9.8) was statistically significant (p < 0.001). In multivariate regression model, only NLR was statistically significant predictor of mortality. So NLR, which is a simple, readily available, and inexpensive parameter has a better association with in-hospital mortality in IE patients.

Indexed as

EndocarditisEndocarditis, BacterialHumansInflammationLymphocytesNeutrophilsPrognosisRetrospective StudiesInfective endocarditisIn-hospital mortalityNeutrophil to lymphocyte ratio

Identifiers

PMID37918561
PMCPMC10774577

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.