Evidence map›Paper›PMID 39352440›Full record

ArticleIntensive care medicine experimental2024

Admission neutrophil-to-lymphocyte ratio to predict mortality in burn patients: a meta-analysis.

Mohamed K A Awad, Ahmed Elsahhar, Mahmoud Alwakeel, Radwa Awad, Nada Gomaa, Amr Muhammad Abdo Salem, Mahmood Ramadan, Ghada Elsahhar, Reyad Essam Reyad Abdelbaky, Francois Fadell

Abstract read
In one paragraph

Article in Intensive care medicine experimental, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
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  5. 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

10 authors.

Mohamed K A AwadDepartment of Anesthesia and Critical Care, Faculty of Medicine, Ain Shams University, Cairo, Egypt.ORCID http://orcid.org/0000-0001-6501-6845
Ahmed ElsahharDepartment of Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt. ahmed.elsahhar@med.asu.edu.eg.ORCID http://orcid.org/0000-0002-8496-9585
Mahmoud AlwakeelDepartment of Pulmonary and Critical Care Medicine, Respiratory Institute, Cleveland Clinic, 9500 Euclid Ave, Mail Code A90, Cleveland, OH, 44195, USA.ORCID http://orcid.org/0000-0002-0565-4543
Radwa AwadDepartment of Critical Care, Cairo University, Cairo, Egypt.
Nada GomaaDepartment of Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Amr Muhammad Abdo SalemDepartment of Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Mahmood RamadanEgyptian Ministry of Health, Cairo, Egypt.ORCID http://orcid.org/0009-0003-7749-5283
Ghada ElsahharEgyptian Ministry of Health, Cairo, Egypt.
Reyad Essam Reyad AbdelbakyGeneral Surgery Department, Hereford County Hospital (Wye Valley NHS Trust), Hereford, UK.ORCID http://orcid.org/0009-0008-9261-1445
Francois FadellVeterans Affairs Western New York Health Care System, 3495 Bailey Avenue, Buffalo, NY, 14215, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe neutrophil-to-lymphocyte ratio (NLR) proves to be a convenient and cost-effective marker with studies showing that a high NLR can serve as a mortality indicator in burn cases. We conducted a meta-analysis aiming to explore whether on-admission NLR values could serve as predictors of mortality in burn patients.

methodsPubMed, Web of Science, Scopus and Embase were searched from inception until January 2024. We included all studies investigating burn patients that contain information on the NLR value at the time of hospital admission and mortality outcomes. The studies were critically appraised using the NIH Quality Assessment Tool.

resultsNine studies fulfilled our criteria with a total population of 1837 participants, including 1526 survivor Burn patients and 311 non-survivor Burn patients. The overall mean difference measured by random model showed a significant increase in NLR by 5.06 (95% CI 3.42, 6.68) p ≤ 0.001 for the non-survivor group over the survivors group with heterogeneity I

conclusionsOur findings support that elevated NLR values can serve as a mortality indicator in burn cases. This will have a great clinical impact by aiding in stratifying the burn patients on admission.

Indexed as

BurnMortalityNeutrophil-to-lymphocyte ratioNLR

Identifiers

PMID39352440
PMCPMC11445202

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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.