Evidence map›Paper›PMID 41384136›Full record

ArticleNeuroprotection (Chichester, England)2024

Impact of neutrophil-to-lymphocyte ratio on the effect of hyperglycemia at admission on clinical outcomes after endovascular thrombectomy.

Tao Tang, Dawei Zhang, Fang Wang, Tieping Fan, Aline M Thomas, Xiaoyan Lan, Manhong Zhao, Di Li, Xinghui Zhao

Abstract read
In one paragraph

Article in Neuroprotection (Chichester, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
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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.

Tao TangDepartment of Neurology and Psychiatry, Emergency and Critical Care Medical Center, Beijing Shijitan Hospital Capital Medical University Beijing China.ORCID 0000-0002-9630-9197
Dawei ZhangDepartment of Neurology Dalian Municipal Central Hospital Dalian Liaoning China.
Fang WangDepartment of Neurology and Psychiatry, Emergency and Critical Care Medical Center, Beijing Shijitan Hospital Capital Medical University Beijing China.
Tieping FanDepartment of Neurointervention Dalian Municipal Central Hospital Dalian Liaoning China.
Aline M ThomasThe Russell H. Morgan Department of Radiology and Radiological Sciences The Johns Hopkins University School of Medicine Baltimore MD USA.
Xiaoyan LanDepartment of Neurointervention Dalian Municipal Central Hospital Dalian Liaoning China.
Manhong ZhaoDepartment of Neurointervention Dalian Municipal Central Hospital Dalian Liaoning China.
Di LiDepartment of Neurointervention Dalian Municipal Central Hospital Dalian Liaoning China.
Xinghui ZhaoDepartment of Neurology and Psychiatry, Emergency and Critical Care Medical Center, Beijing Shijitan Hospital Capital Medical University Beijing China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The neutrophil-to-lymphocyte ratio (NLR) is highly associated with stress responses to acute disorders and may be useful for differentiating hyperglycemia after stroke that is induced by stress or other causes. This study aims to evaluate whether the NLR modifies the effect of hyperglycemia at admission on clinical outcome after thrombectomy. Methods: We retrospectively enrolled 343 patients that underwent endovascular thrombectomy for acute anterior circulation large-vessel occlusion between January 2019 and June 2022. NLR at admission was used to dichotomize patients into low-NLR and high-NLR groups according to its median value. The primary outcome was 90-day functional independence (modified Rankin Scale Score 0-2). Secondary outcomes were 24 h symptomatic intracranial hemorrhage and 90-day mortality. Results: Overall, hyperglycemia at admission decreased the likelihood of functional independence (adjusted odds ratio [OR]: 0.34, 95% confidence interval [95% CI]: 0.19-0.60, Conclusions: The NLR modified the detrimental effect of hyperglycemia at admission on functional independence after thrombectomy. Low-NLR patients with hyperglycemia were at a high risk of poor outcomes, and might more likely benefit from aggressive glucose-lowering treatment.

Indexed as

glucose managementhyperglycemianeutrophil‐to‐lymphocyte ratiostrokethrombectomy

Identifiers

PMID41384136
PMCPMC12486903

What Socratic holds

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LicenceCC BY-NC-ND
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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.