Evidence map›Paper›PMID 38578037›Full record

ArticleImmunity, inflammation and disease2024

Relationship of neutrophil/lymphocyte ratio with cerebral small vessel disease and its common imaging markers.

Jiangping Cai, Xiaoyi Zeng, Xiaojin Huang, Hansheng Dong, Junyi Liu, Jie Lin, Meirong Xie, Xiaolan Wei

Open access · goldAbstract read
In one paragraph

Article in Immunity, inflammation and disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% of its field
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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Jiangping CaiDepartment of Neurology, The First Hospital of Quanzhou Affiliated to Fujian Medical University, Fujian, China.
Xiaoyi ZengDepartment of Neurology, The First Hospital of Quanzhou Affiliated to Fujian Medical University, Fujian, China.
Xiaojin HuangDepartment of Neurology, The First Hospital of Quanzhou Affiliated to Fujian Medical University, Fujian, China.
Hansheng DongDepartment of Neurology, The First Hospital of Quanzhou Affiliated to Fujian Medical University, Fujian, China.
Junyi LiuDepartment of Neurology, The First Hospital of Quanzhou Affiliated to Fujian Medical University, Fujian, China.
Jie LinDepartment of Neurology, The First Hospital of Quanzhou Affiliated to Fujian Medical University, Fujian, China.
Meirong XieDepartment of Neurology, The First Hospital of Quanzhou Affiliated to Fujian Medical University, Fujian, China.
Xiaolan WeiDepartment of Neurology, The First Hospital of Quanzhou Affiliated to Fujian Medical University, Fujian, China.ORCID 0009-0004-0768-6938
Fujian Medical University · CN

Funding

Natural Science Foundation of Fujian Province 2020J011284Natural Science Foundation of Fujian Province 2021J011407Science and Technology Project of Quanzhou, Fujian 2019C030R
6 · The paper itself

Abstract

backgroundHigh neutrophil/lymphocyte ratio (NLR) is associated with poor prognosis in ischemic stroke. However, the role of NLR in cerebral small vessel disease (CSVD) is controversial. Herein, we evaluated the value of NLR in identifying CSVD and its relationship with the common imaging markers of CSVD.

methodsA total of 667 patients were enrolled in this study, including 368 in the CSVD group and 299 in the non-CSVD group. Clinical, laboratory, and imaging data were collected. The relationship of NLR with CSVD and common imaging markers of CSVD were analyzed with univariate and multivariate logistic regression analysis. The predictive value of NLR was assessed with the receiver operating characteristic curve.

resultsNLR (odds ratio [OR] = 1.929, 95% confidence interval [CI] =  1.599-2.327, p < .001) was an independent risk factor for CSVD. NLR was also independently associated with moderate to severe white matter hyperintensity (WMH) (OR = 2.136, 95% CI = 1.768-2.580, p < .001), moderate to severe periventricular WMH (OR = 2.138, 95% CI = 1.771-2.579, p < .001), and moderate to severe deep WMH (OR = 1.654, 95% CI = 1.438-1.902, p < .001), moderately to severely enlarged perivascular spaces (EPVS) (OR = 1.248, 95% CI = 1.110-1.402, p < .001), moderately to severely EPVS in the basal ganglia (OR = 1.136, 95% CI = 1.012-1.275, p = .030), and moderately to severely EPVS in the centrum semiovale (OR = 1.140, 95% CI = 1.027-1.266, p = .014). However, NLR was not statistically significantly associated with lacune. The optimal cutoff point of NLR in predicting CSVD was 2.47, with sensitivity and specificity of 84.2% and 66.9%, respectively (p < .01). The diagnostic effect was maximized when NLR was combined with other risk factors.

conclusionsNLR is an independent risk factor for CSVD and is independently associated with common imaging markers of CSVD. NLR may serve as a valid and convenient biomarker for assessing CSVD.

Indexed as

Cerebral Small Vessel DiseasesNeutrophilsBasal GangliaHumansMagnetic Resonance ImagingRisk Factorscerebral small vessel diseaseenlarged perivascular spacesinflammationneutrophil/lymphocyte ratiowhite matter hyperintensity

Identifiers

PMID38578037
PMCPMC10996379
OpenAlexW4393979302

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.