Evidence map›Paper›PMID 39262691›Full record

ArticleAmerican journal of translational research2024

Analysis of the influencing factors of abdominal Henoch-Schonlein purpura in children with gastrointestinal bleeding and the clinical value of PLR.

Xiaoqing Yang, Rong Lu, Qing Liu, Jiangli Zhang, Haihua Yan, Hairong Lu

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Article in American journal of translational research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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3 · Its place in the literature

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6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Xiaoqing YangPediatric Respiratory and Digestive Medicine, Northwest Women's and Children's Hospital Xi'an 710061, Shaanxi, China.
Rong LuPediatric Ward III, Yan'an University Affiliated Hospital Yan'an 716000, Shaanxi, China.
Qing LiuPediatric Ward I, Yan'an University Affiliated Hospital Yan'an 716000, Shaanxi, China.
Jiangli ZhangDepartment of Medical Laboratory, Xianyang Rainbow Hospital Xianyang 712000, Shaanxi, China.
Haihua YanDepartment of Medical Laboratory, Xianyang Rainbow Hospital Xianyang 712000, Shaanxi, China.
Hairong LuDepartment of Medical Laboratory, Xianyang Rainbow Hospital Xianyang 712000, Shaanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify the influencing factors of gastrointestinal bleeding in children with abdominal-type Henoch-Schonlein purpura (HSP) and to assess the diagnostic value of PLR (platelet-to-lymphocyte ratio).

methodsWe retrospectively analyzed the medical records of 112 children with abdominal HSP admitted to Northwest Women's and Children's Hospital from April 2021 to May 2023. Among them, 62 cases with gastrointestinal bleeding constituted the bleeding group, while the other 50 cases without gastrointestinal bleeding comprised the non-bleeding group. We compared PLR and related routine blood indicators between the two groups. Univariate and multivariate logistic regression analyses were performed to identify independent risk factors for gastrointestinal bleeding. HSP children with gastrointestinal bleeding were further categorized based on treatment efficacy, and the predictive value of PLR for treatment efficacy was analyzed.

resultsThe observation group exhibited significantly higher levels of WBC, NEU, PLT, MPV, C-reactive protein, and PLR, along with lower lymphocyte levels compared to the control group (all P < 0.05). Univariate analysis revealed associations between symptom onset, abdominal pain, vomiting, levels of WBC, NEU, LYM, PLT, PLR, C-reactive protein and gastrointestinal bleeding (all P < 0.05). Multivariate logistic analysis identified onset with abdominal pain, high WBC values, and elevated PLR ratios as risk factors for gastrointestinal bleeding. The ROC curve demonstrated an AUC of 0.914 for PLR in predicting gastrointestinal bleeding. Additionally, PLR was significantly lower in the good efficacy group compared to the poor efficacy group. The AUC of PLR in predicting treatment efficacy was 0.804, indicating high predictive value.

conclusionElevated PLR may serve as a potential risk factor for gastrointestinal bleeding in children with abdominal-type allergic purpura. Monitoring changes in PLR could aid in diagnosis and improvements in treatment for this condition.

Indexed as

abdominal type allergic purpuragastrointestinal bleedingPLR

Identifiers

PMID39262691
PMCPMC11384381

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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.