Evidence map›Paper›PMID 38325867›Full record

ArticleKidney research and clinical practice2024

Mortality associated with the neutrophil-lymphocyte ratio in septic acute kidney injury requiring continuous renal replacement therapy.

Jinwoo Lee, Jeongin Song, Seong Geun Kim, Donghwan Yun, Min Woo Kang, Dong Ki Kim, Kook-Hwan Oh, Kwon Wook Joo, Yon Su Kim, Seung Seok Han and 1 more

Abstract read
In one paragraph

Article in Kidney research and clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Community-acquired pneumonia withJournal of thoracic disease · 2026
    Article
  3. Article
  4. 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

11 authors.

Jinwoo LeeDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Jeongin SongDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Seong Geun KimDepartment of Internal Medicine, Inje University Sanggye Paik Hospital, Seoul, Republic of Korea.
Donghwan YunDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Min Woo KangDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Dong Ki KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Kook-Hwan OhDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Kwon Wook JooDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Yon Su KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Seung Seok HanDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Yong Chul KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSepsis is an important cause of acute kidney injury in intensive care unit patients, accounting for 15% to 20% of renal replacement therapy prescriptions. The neutrophil-lymphocyte ratio (NLR), a marker of systemic inflammation and immune response, was previously associated with the mortality rate in multiple conditions. Herein, we aimed to examine how the NLR relates to the mortality rate in septic acute kidney injury patients requiring continuous renal replacement therapy (CRRT).

methodsThe NLRs of 6 and 18 were used for dividing NLRs into three groups and, thus, were set higher than those in previous studies accounting for steroid use in sepsis. Cox proportional hazard models were used to calculate hazard ratios of mortality outcomes before and after matching their propensity scores.

resultsA total of 798 septic acute kidney injury patients requiring CRRT were classified into three NLR groups (low, <6 [n = 277]; medium, ≥6 and <18 [n = 115], and high, ≥18 [n = 406], respectively). The in-hospital mortality rates per group were 83.4%, 74.8%, and 70.4%, respectively (p < 0.001). Per the univariable Cox survival analysis after propensity score matching, a high NLR was related to approximately 24% reduced mortality. The survival benefit of the high NLR group compared with the other two groups remained consistent across all subgroups, showing any p for interactions of >0.05.

conclusionA high NLR is associated with better clinical outcomes, such as low mortality, in septic acute kidney injury patients undergoing CRRT.

Indexed as

Acute kidney injuryContinuous renal replacement therapyCritical careMortalitySepsis

Identifiers

PMID38325867
PMCPMC11181042

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.