Evidence mapPaperPMID 40535665Full record

ArticleAmerican journal of translational research2025

Predictive role of inflammatory markers in characterizing the progression of interstitial lung disease: a retrospective analysis.

Delun Tan, Yaxue Shang, Jing Wang, Na Sheng

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Article in American journal of translational research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Delun TanDepartment of Respiratory and Critical Care Medicine, Nanjing Jiangbei Hospital Nanjing 210048, Jiangsu, China.
Yaxue ShangDepartment of Respiratory and Critical Care Medicine, Nanjing Jiangbei Hospital Nanjing 210048, Jiangsu, China.
Jing WangDepartment of Respiratory and Critical Care Medicine, Nanjing Jiangbei Hospital Nanjing 210048, Jiangsu, China.
Na ShengDepartment of Respiratory and Critical Care Medicine, Nanjing Jiangbei Hospital Nanjing 210048, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the association between inflammatory markers and interstitial lung disease (ILD) progression in order to enhance disease monitoring and risk stratification.

methodsThis retrospective cohort study analyzed the clinical data from 172 ILD patients admitted to Nanjing Jiangbei Hospital between January 2021 and December 2023. Patients were categorized into two groups: progressive ILD (PILD; n=95) and rapidly progressive ILD (RPILD; n=77), based on changes in symptoms and pulmonary function within six months. PILD was defined by a ≥10% relative decline in predicted Forced Vital Capacity (ppFVC) or related clinical criteria. RPILD was defined by acute symptom worsening and significant pulmonary function deterioration. Inflammatory markers assessed included C-reactive protein (CRP), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), lymphocyte-to-monocyte ratio (LMR), and systemic immune-inflammation index (SII).

resultsCRP, NLR, PLR, and SII levels were significantly higher in the RPILD group, while LMR was significantly lower (all P<0.05). Multivariate logistic regression identified CRP, NLR, LMR, and SII as independent predictors of ILD progression. ROC analysis showed NLR had the highest individual predictive value (AUC=0.757). A composite model combining all five markers achieved an AUC of 0.842, indicating improved predictive accuracy.

conclusionsInflammatory markers, particularly NLR, are independently associated with ILD progression. A composite model incorporating multiple markers offers enhanced predictive performance, potentially supporting clinical decision-making and early intervention strategies.

Indexed as

disease progressioninflammatory markersInterstitial lung diseaseneutrophil to lymphocyte ratiopredictive modelingretrospective study

Identifiers

PMID40535665
PMCPMC12170371

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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 Socratic graph.