Evidence map›Paper›PMID 40217580›Full record

ArticleEuropean journal of clinical investigation2025

The impact of immature granulocytes on the outcome of patients with decompensated cirrhosis.

Magdalini Adamantou, Dimitrios Glaros, Evangelinos Michelis, Apostolos Papageorgiou, Eleni Adamopoulou, Antonia Alevizou, Menelaos Athanasiadis, Eleni Pergantina, Vasiliki E Georgakopoulou, Vasileios Lekakis and 1 more

Abstract read
In one paragraph

Article in European journal of clinical investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Magdalini AdamantouFirst Department of Internal Medicine, Medical School of National & Kapodistrian University, Athens, Greece.
Dimitrios GlarosFirst Department of Internal Medicine, Medical School of National & Kapodistrian University, Athens, Greece.
Evangelinos MichelisFirst Department of Internal Medicine, Medical School of National & Kapodistrian University, Athens, Greece.
Apostolos PapageorgiouFirst Department of Internal Medicine, Medical School of National & Kapodistrian University, Athens, Greece.
Eleni AdamopoulouFirst Department of Internal Medicine, Medical School of National & Kapodistrian University, Athens, Greece.
Antonia AlevizouFirst Department of Internal Medicine, Medical School of National & Kapodistrian University, Athens, Greece.
Menelaos AthanasiadisFirst Department of Internal Medicine, Medical School of National & Kapodistrian University, Athens, Greece.
Eleni PergantinaFirst Department of Internal Medicine, Medical School of National & Kapodistrian University, Athens, Greece.
Vasiliki E GeorgakopoulouFirst Department of Internal Medicine, Medical School of National & Kapodistrian University, Athens, Greece.
Vasileios LekakisFirst Department of Internal Medicine, Medical School of National & Kapodistrian University, Athens, Greece.
Evangelos CholongitasFirst Department of Internal Medicine, Medical School of National & Kapodistrian University, Athens, Greece.ORCID https://orcid.org/0000-0002-3645-582X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigher immature granulocyte levels have a predictive role in several clinical conditions, although data concerning cirrhosis are scarce. Reduced muscle mass is a known factor affecting the outcome of these patients. The aim of the study was to evaluate the association of immature granulocytes with muscle mass and their role in predicting the outcome (survival, death or liver transplantation) in patients with stable decompensated cirrhosis.

methodsWe prospectively studied 210 patients with decompensated cirrhosis awaiting liver transplantation. Their clinical and laboratory characteristics were recorded, including complete blood count with immature granulocyte count and immature granulocyte percentage. The severity of liver disease was evaluated by estimating the Child-Turcotte-Pugh and MELD-sodium scores. Dual energy X-ray absorptiometry was used to quantify the total and regional lean mass, while mid-arm muscle circumference was used for the evaluation of upper limb muscle mass.

resultsImmature granulocyte percentage was proved to be the only factor independently associated with transplant-free survival (Hazard Ratio: 1.98, 95% confidence interval [1.03-3.81], p = .04). Stratification of our cohort based on the best discriminative cut-off values of immature granulocyte count and percentage revealed significant differences in the outcome based on Kaplan-Meier curves, while immature granulocyte count and percentage were significantly associated with parameters of body composition.

conclusionsHigher immature granulocyte count and percentage have a significant prognostic role and are associated with worse outcome in patients with stable decompensated cirrhosis.

Indexed as

GranulocytesLiver CirrhosisAbsorptiometry, PhotonAdultAgedBody CompositionFemaleHumansKaplan-Meier EstimateLeukocyte CountLiver TransplantationMaleMiddle AgedMuscle, SkeletalPrognosisProspective Studiesliver transplantationMAMCMELD scoremuscle massprognosissurvival

Identifiers

PMID40217580
PMCPMC12257256

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.