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Table 1 Study baseline characteristics and quality assessment

From: Neutrophil-to-lymphocyte ratio is associated with short-term mortality in patients with acute respiratory distress syndrome: a meta-analysis

First author/Publication

year

Study

Design/Country

Number of patients

Mean

Age(Y)

Male (%)

Outcome

Measure

Time of

sampling

NLR analysis

HR/OR(95%CI)

Cut

off

value

Variables adjusted

Quality score

Lou Q/2024 [23]

Retrospective cohort study/America

785

63.4 ± 16.7

456(58.1%)

30-day mortality

Day1

per 1-unit/SD,

<6.0,

6.0–11.3,

>11.3

1.06 (1.03–1.09)

Ref

0.90 (0.66–1.23)

1.54 (1.18–2.02)

14.15

Age, sex, race, BMI,

DBP, heart rate, oxygen saturation, respiratory rate, hemoglobin, C-reactive protein, hematocrit, hemoglobin, blood urea nitrogen, prothrombin time, International

Normalized ratio, alcohol abuse, Glasgow Come Scale, SAPS II, and SOFA

6

Li W/2019 [24]

Retrospective cohort study/China

224

64 (46–77)

140(62.5%)

28-day all-cause mortality

Day1

<9.16,

9.16–16.61,

16.61–26.2,

>26.2

Ref.

1.674 (0.462–6.063),

5.075 (1.554–16.576),

5.815 (1.824–18.533)

20.34

Age, sex, body mass index, smoking status, alcohol abusing status, risk factors, comorbidities, baseline vital signs,laboratory data and APACHE II score.

8

Wang Y/2017 [25]

Retrospective cohort study/China

247

62 [48–73]

162(65.6%)

28-day all-cause mortality

Day1

per 1-unit/SD

1.532(1.095-

2.143)

NA

Age, invasive mechanical ventilation, PaO2/FIO2, surgical history, smoking, APACHE II score, malignant tumor, Liver cirrhosis, non-pulmonary sepsis, HCT (%),neutrophils (109/L, NLR, Platelets, Na, K, BUN, Cr

6

Zhang W/2021 [26]

Retrospective cohort study/America

1164

60.27 ± 17.74

479(41.2%)

30-day mortality

Day1

per 1-unit/SD,

<7.5,

7.5–14.8,

≥14.8

1.02(1.01, 1.03),

Ref.

1.09 (0.74, 1.60)

1.48 (1.02, 2.16)

NA

Age, gender, ethnicity, smoking, admission type, COPD, hypertension, tumor, diabetes mellitus, renal failure, SID30, pneumonia, sepsis, aspiration, trauma/surgery, othernon-pulmonary, PaO2/FiO2, SAPSII, OASIS, SOFA, corticosteroids therapy, antibiotic therapy, vasopressor therapy, ventilation received, and renal replacement therapy

6

Chen H/2021 [27]

Prospective cohort study/China

215

NA

131(60.9%)

28-day mortality

Day1

per 1-unit/SD

2.803(1.817–4.849)

13.96

Age, pathogenic factors, surgical history, invasive and noninvasive sequential mechanical ventilation, RDW, NLR, PAR, and the APACHE II and MLIS scores

7

Yang L/2021 [28]

Retrospective cohort study/China

268

NA

192(71.6%)

28-day mortality

Day1

per 1-unit/SD

0.972 (0.950–0.994)

29

PaO2/FiO2, Lactate, MLR, NLR, APACHE II score, SOFA score, Alimentotherapy, Albumin infusion, Transfusion, CRRT, Hospital length of stay

8

Wang Q/2021 [29]

Retrospective cohort study/China

357

58.00 (45.00–69.00)

184(51.5%)

30-day mortality

Day1

per 1-unit/SD

9.48 (3.39–26.52)

14.35

NA

6

Nie S/2022 [30]

Retrospective cohort study/China

136

NA

91(66.9%)

28-day mortality

Day1

per 1-unit/SD

5.22(2.31,18.95)

14.20

NA

7

  1. NLR, Neutrophil-to-Lymphocyte Ratio; HR, Hazard Ratio; OR, Odds Ratio; BMI, Body Mass Index; SAPSII, Simplified Acute Physiology Score II; SOFA,Sequential Organ Failure Assessment; APACHE, Acute Physiology and Chronic Health Evaluation; PaO2/FiO2, Partial Pressure of Arterial Oxygen to Fraction of Inspired Oxygen Ratio; BUN, Blood Urea Nitrogen; Cr, Creatinine; COPD, Chronic Obstructive Pulmonary Disease; OASIS, Organ Dysfunction-free Sepsis Mortality Risk Score; MLR, Mortality Laboratory Risk; NA, Not Available