Evidence map›Paper›PMID 38011646›Full record

Observational studyRevista medica del Instituto Mexicano del Seguro Social2023

[Prognostic utility of inflammatory indexes in critically ill newborns].

Alejandro Aguirre-Escojido, Andrea Padilla-Soto, José de Jesús Guevara-González, Arturo Maximiliano Reyes-Sosa, Alma Patricia González, Carlos Paque-Bautista, Aurelia Del Carmen Ramos-Jiménez, Evaldo Jesús Rodríguez-Mejía, Gloria Patricia Sosa-Bustamante

Open access · greenAbstract readEnglish AbstractObservational Study
In one paragraph

Observational study in Revista medica del Instituto Mexicano del Seguro Social, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 3 institutions in 1 country.

Alejandro Aguirre-EscojidoInstituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Gineco Pediatría No. 48, Dirección de Educación e Investigación en Salud. León, Guanajuato, México.ORCID 0000-0002-1348-3764
Andrea Padilla-SotoInstituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Gineco Pediatría No. 48, Dirección de Educación e Investigación en Salud. León, Guanajuato, México.ORCID 0000-0003-3083-0307
José de Jesús Guevara-GonzálezUniversidad de Guanajuato, Campus León, División de Ciencias de la Salud, Departamento de Medicina y Nutrición. León, Guanajuato, México.ORCID 0000-0002-3453-5674
Arturo Maximiliano Reyes-SosaUniversidad de Guanajuato, Campus León, División de Ciencias de la Salud, Departamento de Medicina y Nutrición. León, Guanajuato, México.ORCID 0000-0002-1233-4580
Alma Patricia GonzálezInstituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Gineco Pediatría No. 48, Dirección de Educación e Investigación en Salud. León, Guanajuato, México.ORCID 0000-0002-3401-7519
Carlos Paque-BautistaInstituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Gineco Pediatría No. 48, Dirección de Educación e Investigación en Salud. León, Guanajuato, México.ORCID 0000-0002-2658-0491
Aurelia Del Carmen Ramos-JiménezInstituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Gineco Pediatría No. 48, Servicio de Neonatología. León, Guanajuato, México.ORCID 0000-0003-3537-307X
Evaldo Jesús Rodríguez-MejíaInstituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Gineco Pediatría No. 48, Servicio de Neonatología. León, Guanajuato, México.ORCID 0000-0002-5590-8070
Gloria Patricia Sosa-BustamanteInstituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Gineco Pediatría No. 48, Dirección de Educación e Investigación en Salud. León, Guanajuato, México.ORCID 0000-0002-8460-4965
Mexican Social Security Institute · MXUniversidad de Guanajuato · MXUniversidad de León · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Critically ill newborns (NB) are susceptible to serious complications due to their immature immune system. Objective: To know the prognostic utility of inflammatory indexes in critically ill NBs. Material and methods: Observational, analytical, longitudinal, prospective study. We included NBs hospitalized, critically ill and non-critically ill, who had a complete blood count at 12 hours of life (initial) and within 24 hours prior to discharge due to improvement or death (final). Systemic immune-inflammatory Index (SII), Neutrophil/Lymphocyte Ratio (NLR) and Platelets/Lymphocyte Ratio (PLR) were analyzed. There was follow-up from birth to discharge. Results: 211 patients of 33 (32-34) weeks of gestation, weight 1.569 (1.480-1.720) kg. 106 critical NB and 105 non-critical NB, with 50 deaths in the former group, were analyzed. The final NLR ≥ 1.38 (sensitivity [S] 58%, specificity [Sp] 58%, AUC 0.60 [p 0.006]) identified critically ill NBs compared to non-critical ill NBs; final NLR ≥ 1.84 (S 71%, Sp 71%, AUC 0.79 [p < 0.0001]) identified critically ill NBs who died compared to all those who survived; final SII ≥ 255.411 x 103 (S 55%, Sp 56%, AUC 0.60 [p 0.047]) and final NLR ≥ 1.75 (S 76%, Sp 76%, AUC 0.84 [p < 0.0001]) identified critical NBs who died from those who survived. Conclusion: The final NLR predicts which NBs may perish with respect to all who survive. The final NLR and SII predict among critically ill NBs who may die.

Indexed as

Critical IllnessInflammationHumansInfant, NewbornLymphocytesPrognosisProspective StudiesRetrospective StudiesCritical IllnessEnfermedad CríticaInfant, NewbornInflamaciónInflammationLinfocitosLymphocytesNeutrófilosNeutrophilsRecién Nacido

Identifiers

PMID38011646
PMCPMC10769563
OpenAlexW4389099089

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.