Evidence map›Paper›PMID 39145178›Full record

ArticleFrontiers in public health2024

Association between complete blood count-derived inflammatory markers and the risk of frailty and mortality in middle-aged and older adults.

Yu Tang, Ying Zhai, Wenjing Song, Tengxiao Zhu, Zichen Xu, Luqing Jiang, Lei Li, Daoqin Liu, Qiwen Wu

Abstract read
In one paragraph

Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

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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

9 authors.

Yu Tang *Clinical Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
Ying Zhai *Clinical Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
Wenjing SongClinical Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
Tengxiao ZhuClinical Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
Zichen XuClinical Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
Luqing JiangClinical Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
Lei LiClinical Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
Daoqin LiuDepartment of Kidney Medicine, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
Qiwen WuClinical Laboratory, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to evaluate the association between six complete blood count (CBC)-derived inflammatory markers [neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), systemic immune-inflammatory index (SII), systemic inflammatory response index (SIRI), and pan-immune inflammation value (PIV)] and the risk of frailty and mortality. Methods: Data were obtained from the National Health and Nutrition Examination Survey (NHANES) 1999-2018. Mortality was identified using the National Death Index until December 31, 2019. Multiple logistic regression analysis was conducted to evaluate the association between six CBC-derived inflammatory markers and frailty. The Cox regression model assessed the association between six CBC-derived inflammatory markers and mortality in frail populations. Restricted cubic spline (RCS) was used to visualize the association of the six CBC-derived inflammatory markers with mortality risk. The predictive value of CBC-derived inflammatory markers for mortality was further assessed using a random survival forest (RSF) approach. Results: This study analyzed data from a total of 16,705 middle-aged and older participants. Among them, 6,503 participants were frail, with a mortality rate of 41.47%. Multiple logistic regression analysis showed that NLR, MLR, PLR, SII, SIRI, and PIV were positively associated with frailty risk. The Cox regression model revealed that participants in the highest quartile had a significantly increased risk of death compared to those in the lowest quartile: NLR (HR = 1.73, 95% CI:1.54, 1.94), MLR (HR = 1.71, 95% CI:1.51, 1.93), PLR (HR = 1.28, 95%CI: 1.15, 1.43), SII (HR = 1.50, 95%CI:1.34, 1.68), SIRI (HR = 1.88, CI 95%:1.67, 2.12), PIV (HR = 1.55, 95%CI:1.38, 1.73). Random survival forest (RSF) analyses demonstrated that MLR had the highest predictive value for mortality risk middle-aged and older adult frail participants. Conclusion: The results suggest that CBC-derived inflammatory markers are associated with a higher risk of frailty as well as mortality in the middle and old-aged population of the United States.

Indexed as

BiomarkersFrailtyInflammationNutrition SurveysAgedAged, 80 and overBlood Cell CountFemaleFrail ElderlyHumansMaleMiddle AgedMortalityRisk FactorsBiomarkersCBC-derived inflammatory markersfrailtymortalityNHANESRSF

Identifiers

PMID39145178
PMCPMC11323558

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Registered trials

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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.