Evidence map›Paper›PMID 40650409›Full record

Observational studyAnnals of medicine2025

Clinical utility of the Platelet-to-neutrophil ratio in differentiating sepsis from neonatal pneumonia: an observational study.

Ci Li, Xiang Feng, Liu Yang, Kaijie Gao, Zhiwei Zhu, Shicai Jiang, Jiajia Ni, Tiewei Li, Junmei Yang

Abstract readObservational Study
In one paragraph

Observational study in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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

9 authors.

Ci LiDepartment of Clinical Laboratory, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou Key Laboratory of Children's Infection and Immunity, Zhengzhou, P.R. China.ORCID 0009-0006-9851-385X
Xiang FengDepartment of Clinical Laboratory, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou Key Laboratory of Children's Infection and Immunity, Zhengzhou, P.R. China.
Liu YangDepartment of Clinical Laboratory, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou Key Laboratory of Children's Infection and Immunity, Zhengzhou, P.R. China.
Kaijie GaoDepartment of Clinical Laboratory, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou Key Laboratory of Children's Infection and Immunity, Zhengzhou, P.R. China.
Zhiwei ZhuDepartment of Clinical Laboratory, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou Key Laboratory of Children's Infection and Immunity, Zhengzhou, P.R. China.
Shicai JiangDepartment of Clinical Laboratory, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou Key Laboratory of Children's Infection and Immunity, Zhengzhou, P.R. China.
Jiajia NiDepartement of Detection and Diagnosis Technology Research, Guangzhou National Laboratory, Guangzhou, Guangdong, P.R. China.
Tiewei LiDepartment of Clinical Laboratory, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou Key Laboratory of Children's Infection and Immunity, Zhengzhou, P.R. China.ORCID 0000-0003-4890-1134
Junmei YangDepartment of Clinical Laboratory, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou Key Laboratory of Children's Infection and Immunity, Zhengzhou, P.R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn some cases, neonates with pneumonia can develop sepsis. The timely and accurate diagnosis of sepsis due to neonatal pneumonia poses a challenge for many clinicians. Therefore, this study aimed to evaluate the potential of the platelet-to-neutrophil ratio (PNR), as an early biomarker for clinically differentiating neonatal sepsis among pneumonia cases.

methodsWe performed a cross-sectional analysis of clinical and laboratory data collected from 1,103 patients with neonatal pneumonia [773 with pneumonia and 330 with pneumonia and sepsis (PS)].

resultsThe PS group had a lower PNR than the pneumonia group. Further analysis revealed that the incidence of PS was significantly higher in the low PNR group than in the high PNR group (43.9% vs. 15.9%,

conclusionsPNR can serve as an early biomarker for differentiating neonatal sepsis among pneumonia cases. Despite its potential, the PNR requires validation in multicenter studies.

Indexed as

Blood PlateletsNeonatal SepsisNeutrophilsPneumoniaSepsisBiomarkersCross-Sectional StudiesDiagnosis, DifferentialFemaleHumansInfant, NewbornMalePlatelet CountRisk FactorsROC CurveBiomarkersneonatesPlatelet-to-neutrophil ratiopneumoniasepsis

Identifiers

PMID40650409
PMCPMC12258167

What Socratic holds

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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 Socratic graph.