Evidence map›Paper›PMID 41261404›Full record

ArticleEuropean journal of medical research2025

Threshold effect of systemic immune-response index on in-stent neoatherosclerosis among patients with drug-eluting stent restenosis.

Shuangya Yang, Qianhang Xia, Ning Gu, Changyin Shen, Chancui Deng, Xi Wang, Yi Deng, Xingwei Hu, Jingjing Zhu, Ranzun Zhao and 1 more

Abstract read
In one paragraph

Article in European journal of medical research, 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.

Shuangya YangDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Qianhang XiaDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Ning GuDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Changyin ShenDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Chancui DengDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Xi WangDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Yi DengDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Xingwei HuDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Jingjing ZhuDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Ranzun ZhaoDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China. kouke80@126.com.
Bei ShiDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China. shibei2147@163.com.

Funding

the Health Commission of Guizhou Province gzwkj2024-014
6 · The paper itself

Abstract

backgroundIn-stent neoatherosclerosis (ISNA) is a key mechanism underlying drug-eluting stent in-stent restenosis (DES-ISR), with inflammation playing a critical role. This study aimed to assess the association between the systemic immune-response index (SIRI) and ISNA in DES-ISR patients.

methodsA retrospective analysis included 212 patients with DES-ISR who underwent coronary angiography and optical coherence tomography (OCT) at least 12 months after stent implantation. SIRI was calculated as (neutrophil count × monocyte count)/lymphocyte count and divided into tertiles. Multivariate logistic regression, smooth curve fitting, threshold effect, and subgroup analyses were performed to evaluate the relationship between SIRI and ISNA risk.

resultsHigher SIRI tertiles were associated with ISNA and thin-cap fibroatheroma (all P < 0.05). Multivariate analysis identified SIRI as an independent risk factor for ISNA (OR per unit increase 1.23, 95% CI 1.04-1.47, P = 0.018). Smooth curve fitting identified a non-linear association, highlighting a distinct threshold at a SIRI level of 3.95, below which the risk of ISNA rose sharply. Subgroup analysis revealed that the association between SIRI and ISNA risk was largely consistent across most subgroups, with a significant interaction observed only among patients younger than 60 years (OR 1.94, 95% CI 1.23-3.05, P for interaction = 0.010).

conclusionSIRI is independently and non-linearly associated with the risk of ISNA in DES-ISR patients, with a distinct inflection point observed at a SIRI value of 3.95, below which elevated SIRI levels were significantly correlated with increased ISNA risk. Prospective studies are needed for further validation.

Indexed as

AtherosclerosisCoronary RestenosisDrug-Eluting StentsAgedCoronary AngiographyFemaleHumansMaleMiddle AgedPercutaneous Coronary InterventionRetrospective StudiesRisk FactorsTomography, Optical CoherenceDrug-eluting stentsIn-stent neoatherosclerosisIn-stent restenosisOptical Coherence TomographySystemic Immune-Response Index

Identifiers

PMID41261404
PMCPMC12632093

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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.