Prognostic role of neutrophil lymphocyte ratio in patients with spontaneous intracerebral hemorrhage

被引:15
作者
Zhang, Jing [1 ]
Cai, Linrui [2 ]
Song, Yanlin [3 ]
Shan, Baoyin [1 ]
He, Min [1 ]
Ren, Qingqing [1 ]
Chen, Chaoyue [1 ]
Liu, Zhiyong [1 ]
Zeng, Yunhui [1 ]
Xu, Jianguo [1 ]
机构
[1] Sichuan Univ, West China Hosp, Dept Neurosurg, Chengdu 610041, Sichuan, Peoples R China
[2] Sichuan Univ, West China Univ Hosp 2, Natl Drug Clin Trial Inst, Chengdu 610041, Sichuan, Peoples R China
[3] Sichuan Univ, West China Hosp, West China Sch Med, Chengdu 610041, Sichuan, Peoples R China
关键词
neutrophil lymphocyte ratio; intracerebral hemorrhage; prognosis; outcome; CEREBRAL-HEMORRHAGE; BLOOD-PRESSURE; PREDICTS; MORTALITY; VOLUME; SCALE; COUNT; SIGN;
D O I
10.18632/oncotarget.20776
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The aim of this study was to evaluate the prognostic role of neutrophil lymphocyte ratio (NLR) in patients with spontaneous intracerebral hemorrhage (ICH). PubMed, EMBASE, Web of Knowledge, Cochrane Library and China National Knowledge Infrastructure were searched for potentially relevant literature. The study and patient characteristics were extracted. Odds ratios (ORs) with 95% confidence intervals (CIs) were pooled to estimate the prognostic role of NLR in patients with ICH. Poor functional outcome was defined as modified Rankin Scale >= 3. Four studies with 1,720 patients were included. The pooled OR of higher NLR for poor functional outcome at 3 months was 2.74 (95% CI, 1.33-5.65). The pooled OR of higher NLR for death at 3 months was 1.58 (95% CI, 0.44-5.68). Subgroup analysis and sensitivity analysis were also performed. Publication bias was not present. In conclusion, for patients with ICH, higher NLR was associated with poorer functional outcome at 3 months, while higher NLR was not associated with higher risk of death at 3 months.
引用
收藏
页码:77752 / 77760
页数:9
相关论文
共 31 条
[1]   Molecular Pathophysiology of Cerebral Hemorrhage Secondary Brain Injury [J].
Aronowski, Jaroslaw ;
Zhao, Xiurong .
STROKE, 2011, 42 (06) :1781-1786
[2]   Outcomes validity and reliability of the modified Rankin scale: Implications for stroke clinical trials - A literature review and synthesis [J].
Banks, Jamie L. ;
Marotta, Charles A. .
STROKE, 2007, 38 (03) :1091-1096
[3]   VOLUME OF INTRACEREBRAL HEMORRHAGE - A POWERFUL AND EASY-TO-USE PREDICTOR OF 30-DAY MORTALITY [J].
BRODERICK, JP ;
BROTT, TG ;
DULDNER, JE ;
TOMSICK, T ;
HUSTER, G .
STROKE, 1993, 24 (07) :987-993
[4]   Admission neutrophil-lymphocyte ratio predicts 90 day outcome after endovascular stroke therapy [J].
Brooks, Steven D. ;
Spears, Chauncey ;
Cummings, Christopher ;
VanGilder, Reyna L. ;
Stinehart, Kyle R. ;
Gutmann, Laurie ;
Domico, Jennifer ;
Culp, Stacey ;
Carpenter, Jeffrey ;
Rai, Ansaar ;
Barr, Taura L. .
JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2014, 6 (08) :578-583
[5]   Low cholesterol level associated with severity and outcome of spontaneous intracerebral hemorrhage: Results from Taiwan Stroke Registry [J].
Chen, Yu-Wei ;
Li, Chen-Hua ;
Yang, Chih-Dong ;
Liu, Chung-Hsiang ;
Chen, Chih-Hung ;
Sheu, Jau-Jiuan ;
Lin, Shinn-Kuang ;
Chen, An-Chih ;
Chen, Ping-Kun ;
Chen, Po-Lin ;
Yeh, Chung-Hsin ;
Chen, Jiunn-Rong ;
Hsiao, Yu-Jen ;
Lin, Ching-Huang ;
Hsu, Shih-Pin ;
Chen, Tsang-Shan ;
Sung, Sheng-Feng ;
Yu, Shih-Chieh ;
Muo, Chih-Hsin ;
Wen, Chi Pang ;
Sung, Fung-Chang ;
Jeng, Jiann-Shing ;
Hsu, Chung Y. .
PLOS ONE, 2017, 12 (04)
[6]   Defining hematoma expansion in intracerebral hemorrhage Relationship with patient outcomes [J].
Dowlatshahi, D. ;
Demchuk, A. M. ;
Flaherty, M. L. ;
Ali, M. ;
Lyden, P. L. ;
Smith, E. E. .
NEUROLOGY, 2011, 76 (14) :1238-1244
[7]   Biomarkers of Functional Outcome in Intracerebral Hemorrhage: Interplay between Clinical Metrics, CD163, and Ferritin [J].
Garton, Andrew L. A. ;
Gupta, Vivek P. ;
Christophe, Brandon R. ;
Connolly, E. Sander, Jr. .
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2017, 26 (08) :1712-1720
[8]   Neutrophil-to-Lymphocyte Ratio Is an Independent Predictor for In-Hospital Mortality in Spontaneous Intracerebral Hemorrhage [J].
Giede-Jeppe, Antje ;
Bobinger, Tobias ;
Gerner, Stefan T. ;
Sembill, Jochen A. ;
Spruegel, Maximilian I. ;
Beuscher, Vanessa D. ;
Luecking, Hannes ;
Hoelter, Philip ;
Kuramatsu, Joji B. ;
Huttner, Hagen B. .
CEREBROVASCULAR DISEASES, 2017, 44 (1-2) :26-34
[9]   Dynamic change of neutrophil to lymphocyte ratio and hemorrhagic transformation after thrombolysis in stroke [J].
Guo, Zhiliang ;
Yu, Shuhong ;
Xiao, Lulu ;
Chen, Xin ;
Ye, Ruidong ;
Zheng, Ping ;
Dai, Qiliang ;
Sun, Wen ;
Zhou, Changsheng ;
Wang, Shuiping ;
Zhu, Wusheng ;
Liu, Xinfeng .
JOURNAL OF NEUROINFLAMMATION, 2016, 13
[10]   Guidelines for the Management of Spontaneous Intracerebral Hemorrhage A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association [J].
Hemphill, J. Claude, III ;
Greenberg, Steven M. ;
Anderson, Craig S. ;
Becker, Kyra ;
Bendok, Bernard R. ;
Cushman, Mary ;
Fung, Gordon L. ;
Goldstein, Joshua N. ;
Macdonald, R. Loch ;
Mitchell, Pamela H. ;
Scott, Phillip A. ;
Selim, Magdy H. ;
Woo, Daniel .
STROKE, 2015, 46 (07) :2032-2060