Evidence map›Paper›PMID 38637281›Full record

ArticleRenal failure2024

Prognostic value of neutrophil-to-lymphocyte ratio dynamics in patients with septic acute kidney injury: a cohort study.

Wei Wei, Caihong Liu, Guojiao Song, Letian Yang, Jian Li, Bo Wang, Ting Yin, Yingying Yang, Liang Ma, Ling Zhang and 2 more

Abstract read
In one paragraph

Article in Renal failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

12 authors.

Wei WeiDivision of Nephrology, West China Hospital, Sichuan University, Chengdu, PR China.
Caihong LiuDivision of Nephrology, West China Hospital, Sichuan University, Chengdu, PR China.
Guojiao SongWest China School of Medicine, Sichuan University, Chengdu, PR China.
Letian YangDivision of Nephrology, West China Hospital, Sichuan University, Chengdu, PR China.
Jian LiDivision of Nephrology, West China Hospital, Sichuan University, Chengdu, PR China.
Bo WangDivision of Nephrology, West China Hospital, Sichuan University, Chengdu, PR China.
Ting YinDivision of Nephrology, West China Hospital, Sichuan University, Chengdu, PR China.
Yingying YangDivision of Nephrology, West China Hospital, Sichuan University, Chengdu, PR China.
Liang MaDivision of Nephrology, West China Hospital, Sichuan University, Chengdu, PR China.
Ling ZhangDivision of Nephrology, West China Hospital, Sichuan University, Chengdu, PR China.
Ping FuDivision of Nephrology, West China Hospital, Sichuan University, Chengdu, PR China.
Yuliang ZhaoDivision of Nephrology, West China Hospital, Sichuan University, Chengdu, PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeutrophil-to-lymphocyte ratio (NLR) has been suggested to be a prognostic marker for various diseases, but whether NLR dynamics (ΔNLR) is related to mortality and disease severity in patients with septic acute kidney injury (AKI) has not been determined.

methodsBetween August 2013 and August 2021, septic AKI patients at our center were retrospectively enrolled. ΔNLR was defined as the difference between the NLR at septic AKI diagnosis and at hospital admission. The relationship between the ΔNLR and mortality was evaluated by Kaplan-Meier curves, Cox proportional hazards, and cubic spline analyses. The prediction values were compared by area under the receiver-operating characteristic curve (AUROC), net reclassification improvement (NRI), and integrated discrimination improvement (IDI) analyses.

resultsOf the 413 participants, the mean age was 63 ± 17 years, and 134 were female (32.4%). According to the median value, patients in the high-ΔNLR group had significantly greater 90-d mortality (74.4%

conclusionsHigh ΔNLR is independently associated with increased risk of patient mortality and adverse outcomes. ΔNLR might be utilized to facilitate risk stratification and optimize septic AKI management.

Indexed as

Acute Kidney InjuryNeutrophilsAgedAged, 80 and overCohort StudiesFemaleHumansLymphocytesMaleMiddle AgedPrognosisRetrospective Studiesmortalityneutrophil-to-lymphocyte ratio dynamicsprognosisSeptic acute kidney injury

Identifiers

PMID38637281
PMCPMC11028010

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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.