Evidence map›Paper›PMID 37575788›Full record

ArticleCureus2023

Changes and Rate of Change in Neutrophil-Lymphocyte Ratio (∆NLR) as an Early Prognostic Marker for the Severity of Outcomes in Patients With COVID-19 and Its Applicability in Other Viral and Bacterial Diseases.

Nandana Jasti, Lakshmikanth Reddy Mn, Naveen Kumar Pothireddy, Meghna R Sankepalli, Ganshyam M Jagathkar, Uday Pratap Singh

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 30% of its field
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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 2 institutions in 2 countries.

Nandana JastiInternal Medicine, Medicover Hospital, Hyderabad, IND.
Lakshmikanth Reddy MnInternal Medicine, Medicover Hospital, Hyderabad, IND.
Naveen Kumar PothireddyInternal Medicine, Medicover Hospital, Hyderabad, IND.
Meghna R SankepalliPulmonology, Medicover Hospital, Hyderabad, IND.
Ganshyam M JagathkarIntensive Care Unit, Medicover Hospital, Hyderabad, IND.
Uday Pratap SinghOral Medicine, Medeva, Delhi, IND.
CARE Hospitals · INIndraprastha Institute of Information Technology Delhi · IN

Funding

Ventral and dorsal visual streams in action planningK01MH002022 · NIMH · UNIVERSITY OF OREGON · PI FREY, SCOTT H · 2002 to 2005
$632k
NIMH NIH HHS K01 MH002022
6 · The paper itself

Abstract

introductionCOVID-19 is a global pandemic that has spread rapidly and resulted in numerous deaths worldwide. Many inflammatory markers such as neutrophil-lymphocyte ratio (NLR), D-dimer, serum ferritin, C-reactive protein (CRP), and interleukin-6 (IL-6) were used for the diagnosis and prognosis of COVID-19.

methodsWe have proposed using Delta NLR (0-48 hours) (∆NLR) as an early diagnostic marker for COVID-19 and other inflammatory disorders. We have created a prediction model based on six variables: overall severity, death, shifting to the ICU, length of stay, oxygen requirement, and ventilator support. Prediction models help us prepare for future pandemics through early diagnosis and management.

resultsA total of 1,865 patient records were retrieved from the database. The final sample available for analysis was 461. Change in NLR or ∆NLR was significant for all the models (except for length of stay) created by logistic regression.

conclusionAn independent predictor of the poor prognosis of COVID-19 is the severity of the disease in the initial one or two days. ∆NLR is a unique marker, and its scope of use in other disorders' prognoses must be further researched. The prediction models also help us in decision-making strategies and also prepare us for future pandemics.

Indexed as

covid-19d-dimerdelta neutrophil lymphocyte ratiooverall severityprediction model

Identifiers

PMID37575788
PMCPMC10416752
OpenAlexW4384071251

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.