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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
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
Accepted on: Feb 5, 2024
Published on: Mar 21, 2024
Published by: Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
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.