Evidence map›Paper›PMID 38322313›Full record

ArticleFrontiers in microbiology2024

Dynamic monitoring of neutrophil/lymphocyte ratio, APACHE II score, and SOFA score predict prognosis and drug resistance in patients with

Zhiyong Wei, Lina Zhao, Jia Yan, Xuejie Wang, Qun Li, Yuanyuan Ji, Jie Liu, Yan Cui, Keliang Xie

Abstract read
In one paragraph

Article in Frontiers in microbiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Article
  3. Carbapenem-resistantFrontiers in medicine · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Impact of Pathogen Status on Sepsis-Associated Acute Respiratory Distress Syndrome Outcomes.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Microbial signatures predictive of short-term prognosis in severe pneumonia.Frontiers in cellular and infection microbiology · 2024
    Article
  12. 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

9 authors.

Zhiyong Wei *Department of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Lina Zhao *Department of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Jia YanDepartment of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Xuejie WangDepartment of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Qun LiDepartment of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Yuanyuan JiDepartment of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Jie LiuDepartment of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Yan CuiDepartment of Pathogen Biology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, China.
Keliang XieDepartment of Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to evaluate the clinical value of dynamic monitoring of neutrophil/lymphocyte ratio (NLR), APACHE II (Acute Physiology and Chronic Health Evaluation II) score, and Sequential Organ Failure Assessment (SOFA) score in predicting 28-day prognosis and drug resistance in patients with bloodstream infection with Patients and methods: In this research, individuals admitted to Tianjin Medical University General Hospital from January 2017 to March 2023 with bloodstream infections and a minimum of one Abc complex positive blood culture were chosen. The risk factors for the 28-day prognosis and drug resistance were analyzed using logistic regression. The NLR, APACHE II score, and SOFA score were evaluated for predicting 28-day prognosis and drug resistance using an ROC curve analysis. The data were analyzed using R Studio to find correlations and conduct survival analysis with the Kaplan-Meier method. Results: The final statistical analysis included a total of 129 patients with bloodstream infections caused by Abc complex. Independent risk factors predicting mortality within 28 days were identified as follows: the SOFA score and APACHE II scores at 24 h, and APACHE II scores at 72 h after the onset of blood infection ( Conclusion: The prognosis of Abc complex bloodstream infection is affected by both SOFA and APACHE II scores. Both scoring systems have similar prognostic values at different time points after infection, but for computational convenience, it is recommended to use the SOFA score. NLR exhibits limited effectiveness in predicting mortality within 28 days. Carbapenem-resistant individuals with Abc complex experience significantly reduced survival time. None of the three factors-SOFA score, APACHE II score, and NLR-can early predict the occurrence of CRAB infections effectively.

Indexed as

bloodstream infection (BSI)Carbapenem-resistant Acinetobacter baumannii–calcoaceticus complex (CRAB)disease severity scoreneutrophil/lymphocyte ratio (NLR)risk factorsepsis

Identifiers

PMID38322313
PMCPMC10844563

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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.