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中性粒细胞与淋巴细胞比值在预测肺炎患者死亡率方面优于其他基于炎症的预后评分。

The Neutrophil to Lymphocyte Ratio Is Superior to Other Inflammation-Based Prognostic Scores in Predicting the Mortality of Patients with Pneumonia.

作者信息

Shimoyama Yuichiro, Umegaki Osamu, Inoue Satsuki, Agui Tomoyuki, Kadono Noriko, Minami Toshiaki

机构信息

Department of Anesthesiology, Osaka Medical College, Takatsuki, Osaka 569-8686,

出版信息

Acta Med Okayama. 2018 Dec;72(6):591-593. doi: 10.18926/AMO/56377.

Abstract

A neutrophil-to-lymphocyte ratio (NLR) > 7 is reportedly an independent marker of mortality in patients with bacteremia. However, no studies have shown an association between inflammation-based prognostic scores (including the Glasgow Prognostic Score, the NLR, the platelet-to-lymphocyte ratio, the Prognostic Nutritional Index, and the Prognostic Index) and mortality in patients with pneumonia. We retrospectively examined the cases of 33 patients diagnosed with pneumonia who were treated in the ICU of Osaka Medical College Hospital between January 2014 and June 2016. A multivariate analysis revealed that the NLR was a significant predictor of mortality in these pneumonia patients.

摘要

据报道,中性粒细胞与淋巴细胞比值(NLR)>7是菌血症患者死亡率的独立标志物。然而,尚无研究表明基于炎症的预后评分(包括格拉斯哥预后评分、NLR、血小板与淋巴细胞比值、预后营养指数和预后指数)与肺炎患者死亡率之间存在关联。我们回顾性研究了2014年1月至2016年6月期间在大阪医科大学医院重症监护病房接受治疗的33例确诊肺炎患者的病例。多因素分析显示,NLR是这些肺炎患者死亡率的重要预测指标。

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