Decrease in the platelet-to-lymphocyte ratio in days after admission for sepsis correlates with in-hospital mortality

doi:10.1097/SHK.0000000000002087

科研成果详情

题名	Decrease in the platelet-to-lymphocyte ratio in days after admission for sepsis correlates with in-hospital mortality
作者	Zheng, Rui 1; Shi, Yi-Yi 2; Pan, Jing-Ye3,4,5,6; Qian, Song-Zan3,4,5
发表日期	2023-04
发表期刊	Shock (Augusta, Ga.) 影响因子和分区
语种	英语
原始文献类型	Journal Article
关键词	Platelet-to-lymphocyte ratio dynamic change generalized additive mixed model sepsis
其他关键词	SEPTIC SHOCK ; COUNT ; PREDICTOR
摘要	A previous study has linked an increase in platelet-to-lymphocyte ratio (PLR) to a poor prognosis; however, the relationship between early change in PLR and outcomes in sepsis patients is unclear., The Medical Information Mart for Intensive Care IV (MIMIC-IV) database was for this retrospective cohort analysis on patients meeting the Sepsis -3 criteria. All the patients meet the Sepsis -3 criteria. The platelet-lymphocyte ratio (PLR) was calculated by dividing the platelet count by the lymphocyte count. We collected all PLR measurements that were available within 3 days of admission for analysis of longitudinal changes over time. Multivariable logistic regression analysis was used to determine the relationship between the baseline PLR and in-hospital mortality. After correcting for possible confounders, the generalized additive mixed model (GAMM) was used to examine the trends in PLR over time among survivors and non-survivors., Finally, 3,303 patients were enrolled, and both low and high PLR levels were significantly associated with higher in-hospital mortality in the multiple logistic regression analysis (tertile 1: OR, 1.240; 95%CI, 0.981-1.568 and tertile 3: OR, 1.410; 95% CI, 1.120-1.776, respectively). The GAMM results revealed that the PLR of the non-survival group declined faster than that of the survival group within 3 days after ICU admission. After controlling for confounders, the difference between the two groups steadily decreased and increased by an average of 37.38 daily., There was a U-shaped relationship between the baseline PLR and in-hospital mortality of sepsis patients, and there was a significant difference between the non-survival and survival groups in the change in PLR over time. The early decrease in PLR was related to an increase in in-hospital mortality.
资助项目	Research Incubation Project of the First Affiliated Hospital of Wenzhou Medical University [FHY2019048]; Wenzhou Science and Technology Bureau Foundation [Y20210713]; National Natural Science Foundation of China [81873949, 81671968]; 5G Network-based Platform for Precision Emergency Medical Care in Regional Hospital Clusters. MIIT. PRC [2020NO.78]
出版者	LIPPINCOTT WILLIAMS & WILKINS
ISSN	1073-2322
EISSN	1540-0514
卷号	59 期号:4 页码:553-559
DOI	10.1097/SHK.0000000000002087
页数	7
WOS类目	Critical Care Medicine ; Hematology ; Surgery ; Peripheral Vascular Disease
WOS研究方向	General & Internal Medicine ; Hematology ; Surgery ; Cardiovascular System & Cardiology
WOS记录号	WOS:000960927900004
收录类别	PUBMED ; SCIE ; SCOPUS
URL	查看原文
PubMed ID	36802214
SCOPUSEID	2-s2.0-85151312900
通讯作者地址	[Pan, Jing-Ye]Department of Intensive Care Unit,The First Affiliated Hospital of Wenzhou Medical University,Nanbaixiang street,Wenzhou,325000,China ; [Qian, Song-Zan]Department of Intensive Care Unit,The First Affiliated Hospital of Wenzhou Medical University,Nanbaixiang street,Wenzhou,325000,China
Scopus学科分类	Emergency Medicine;Critical Care and Intensive Care Medicine
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/172778
专题	附属第一医院附属第一医院_重症医学科（ICU）
通讯作者	Pan, Jing-Ye; Qian, Song-Zan
作者单位	1.Department of Critical Care Medicine,Sir Run Run Shaw Hospital,School of Medicine,Zhejiang University,Hangzhou,China; 2.Department of Anesthesiology,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China; 3.Department of Intensive Care Unit,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China; 4.Wenzhou Key Laboratory of Critical Care and Artificial Intelligence,Wenzhou,China; 5.Key Laboratory of Intelligent Treatment and Life Support for Critical Diseases of Zhejiang Province,Wenzhou,China; 6.Zhejiang Engineering Research Center for Hospital Emergency and Process Digitization,Wenzhou,China
通讯作者单位	附属第一医院; 第一临床医学院（信息与工程学院）、附属第一医院
推荐引用方式 GB/T 7714	Zheng, Rui,Shi, Yi-Yi,Pan, Jing-Ye,et al. Decrease in the platelet-to-lymphocyte ratio in days after admission for sepsis correlates with in-hospital mortality[J]. Shock (Augusta, Ga.),2023,59(4):553-559.
APA	Zheng, Rui, Shi, Yi-Yi, Pan, Jing-Ye, & Qian, Song-Zan. (2023). Decrease in the platelet-to-lymphocyte ratio in days after admission for sepsis correlates with in-hospital mortality. Shock (Augusta, Ga.), 59(4), 553-559.
MLA	Zheng, Rui,et al."Decrease in the platelet-to-lymphocyte ratio in days after admission for sepsis correlates with in-hospital mortality".Shock (Augusta, Ga.) 59.4(2023):553-559.