Evidence map›Paper›PMID 39635861›Full record

ArticleEpidemiology and infection2024

The predictive values of C-reactive protein-neutrophil to lymphocyte ratio for the risk of refractory

Xiaoli Chen, Shanhu Wang, Hailun Cai, Xiaojiao Xia

Abstract read
In one paragraph

Article in Epidemiology and infection, 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. Machine learning-based prediction models for severeFrontiers in public health · 2026
    Pooled it
  3. Article
  4. Article
  5. Breathe (Sheffield, England) · 2025
    Review
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

4 authors.

Xiaoli ChenDepartment of Pediatrics, The Second Affiliated Hospital of Wenzhou Medical University, Wen Zhou, Zhe Jiang, China.
Shanhu WangDepartment of Pediatrics, The Second Affiliated Hospital of Wenzhou Medical University, Wen Zhou, Zhe Jiang, China.
Hailun CaiDepartment of Pediatrics, The Second Affiliated Hospital of Wenzhou Medical University, Wen Zhou, Zhe Jiang, China.
Xiaojiao XiaDepartment of Pediatrics, The Second Affiliated Hospital of Wenzhou Medical University, Wen Zhou, Zhe Jiang, China.ORCID 0009-0000-6098-8872

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This cohort study evaluated the associations of C-reactive protein-neutrophil to lymphocyte ratio (C-NLR) and lymphocyte-CRP ratio (LCR) with refractory Mycoplasma pneumoniae pneumonia (RMPP), and the predictive values of C-NLR and LCR for RMPP and prolonged fever in children based on 389 children with MPP. The associations of NLR, C-NLR, and LCR with RMPP and prolonged fever were evaluated by logistic regression analysis. C-NLR was correlated with an increased risk of RMPP in children [odds ratio (OR) = 3.459, 95% confidence interval (CI): 1.598-7.491]. A higher risk of RMPP was identified in the C-NLR > 29.9 group (OR = 2.885, 95% CI: 1.599-5.203). LCR > 1584.2 was associated with a decreased risk of RMPP (OR = 0.500, 95% CI: 0.282-0.887). Increased risk of prolonged fever in children was identified with the increase of C-NLR (OR = 5.913, 95% CI: 2.335-14.972) or NLR (OR = 2.413, 95% CI: 1.689-3.446). The AUCs of C-NLR, LCR, and NLR for predicting RMPP were 0.630, 0.623, and 0.608, respectively. In conclusion, C-NLR was associated with increased RMPP risk in children and had good value for predicting RMPP and prolonged fever in children.

Indexed as

C-Reactive ProteinLymphocytesNeutrophilsPneumonia, MycoplasmaChildChild, PreschoolFemaleHumansInfantMaleMycoplasma pneumoniaePredictive Value of TestsRetrospective StudiesC-Reactive ProteinC-reactive protein-neutrophil to lymphocyte ratiolymphocyte-CRP rationeutrophil to lymphocyte ratiorefractory Mycoplasma pneumoniae pneumonia

Identifiers

PMID39635861
PMCPMC11648507

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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.