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Neutrophil-to-Lymphocyte Ratio – Risk of Amputation and Mortality in Patients with Limb-Threatening Ischemia – a Systematic Review Cover

Neutrophil-to-Lymphocyte Ratio – Risk of Amputation and Mortality in Patients with Limb-Threatening Ischemia – a Systematic Review

Open Access
|Mar 2024

Figures & Tables

FIGURE 1.

PRISMA flow chart of studies included in the systematic review

Disease etiology, treatment, and outcomes of patients with ALI

StudyStudy group valueControl group valueCut-off valueAUC/ROC analysisSensitivity (%)Specificity (%)Outcome
ALI

Taşoğlu et al.279.76.15.20.763%63%Amputation
Coelho et al.288.83.65.40.86090.5%73.6%Death or major amputation at 30 days
Taurino et al.2950,823Amputation at 30 days
50.776Mortality at 30 days
Pasqui et al.308.96.56.660.71277.8%65.3%Amputation at 26.9 ± 22.1 months
8.085.65.570.63962.3%56.04%Mortality at 26.9 ± 22.1 months
Arbănași et al.315.782.614.230.82970.2%83%Major amputation at 30 days

CLTI

Spark et al.325.250.69069%71%Mortality at 8.7 months (3.1–16 months)
Chan et al.335.25Mortality at 12 months
Gonzalez-Fajardo et al.3450.6432%87.5%Amputation-free survival at 31 months
Erturk et al.353Cardiovascular death at 20 months (12–27 months)
Taşoğlu et al.363.82.43.20.71Major amputation at 46 months
Su et al.37862%82.1%Mortality at 12 months
Russu et al.386.402.213.950.82182.6%89.9%Primary patency at 12 months

Clinical cases and surgical procedures for ALI

StudyCauseLocationTreatmentComplication

Embolic, n (%)Thrombotic, n (%)Aorto-iliac, n (%)Femoral-popliteal axis, n (%)Below the knee artery, n (%)Embolectomy, n (%)Bypass, n (%)Other, n (%)Amputation, n (%)Mortality, n (%)
Taşoğlu et al.27224 (92%)21 (8%)44 (18%)189 (78%)224 (92%)21 (8%)36 (14.69%)25 (10%)
Coelho et al.28157 (45.5%)188 (54.5%)60 (17.4%)261 (75.7%)24 (7%)280 (81.2%)35 (10.1%)30 (8.7%)84 (24.34%)
Taurino et al.2973 (41.3%)104 (58.7%)95 (53.7%)9 (5.1%)73 (41.2%)23 (12.9%)29 (16.4%)
Pasqui et al.3067 (39.9%)121 (60.1%)19 (11.3%)138 (82.1%)11 (6.5%)18 (10.7%)77 (45.8%)
Arbănași et al.31118 (72.39%)38 (23.31%)7 (4.29%)57 (27.14%)47 (22.38%)

The general characteristics of the studies included in the review

StudyYearCountryNo. of patientsMean age (years)Male sex, n (%)Hypertension, n (%)Ischemic heart disease, n (%)Diabetes, n (%)Active smoking, n (%)
ALI

Taşoğlu et al.272013Turkey24566.04152 (62%)144 (59%)60 (24%)170 (70%)
Coelho et al.282021Portugal34573188 (54.5%)277 (83.5%)157 (45.5%)92 (27.5%)136 (39.4%)
Taurino et al.292021Italy17778.9115 (65%)145 (81.9%)70 (39.5%)
Pasqui et al.302021Italy16877.8109 (64.9%)128 (76.1%)45 (26.7%)54 (32.1%)18 (10.7%)
Arbănași et al.312022Romania21069.56153 (72.86%)175 (83.33%)169 (80.48%)111 (52.86%)134 (63.81%)

CLTI

Spark et al.322010UK1497283 (55.7%)44 (29.53%)103 (69.12%)
Chan et al.332014Australia978150 (64.9%)42 (54.6%)49 (63.6%)46 (59.7%)
Gonzalez-Fajardo et al.342014Spain56174465 (83%)354 (63.10%)131 (23.35%)258 (45.98%)362 (64.52%)
Erturk et al.352014Turkey50864413 (81.3%)311 (61.22%)207 (40.74%)213 (41.92%)266 (52.36%)
Taşoğlu et al.362014Turkey1046986 (82.7%)46 (44.2%)39 (37.5%)74 (71.2%)
Su et al.372021Taiwan19574102 (52.3%)129 (66.15%)75 (38.46%)134 (68.71%)46 (23.58%)
Russu et al.382022Romania22469.72166 (74.11%)186 (83.04%)181 (80.8%)110 (49.11%)141 (62.95%)
DOI: https://doi.org/10.2478/jce-2024-0006 | Journal eISSN: 2457-5518 | Journal ISSN: 2457-550X
Language: English
Page range: 7 - 12
Submitted on: Dec 20, 2023
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Accepted on: Feb 5, 2024
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Published on: Mar 21, 2024
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Bogdan Ioan Lăpădatu, Eliza Russu, published by Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.