What is already known about this topic?
What does this article add?
Background
Methods
Results
Baseline characteristic
Clinical characteristics according to neutrophil to lymphocyte ratio
NLR | |||||
---|---|---|---|---|---|
quartile 1 | quartile 2 | quartile 3 | quartile4 |
P
| |
(NLR < 2.05, n = 85) | (NLR 2.05–2.99, n = 88) | (NLR 3.00 ~ 6.12, n = 83) | (NLR > 6.12, n = 85) | ||
Age (year) | 87.94 ± 5.05 | 86.67 ± 4.43 | 87.80 ± 5.17 | 87.25 ± 6.02 | 0.375 |
Male (n,%) | 79 (92.94) | 87 (98.86) | 79 (95.18) | 83 (92.94) | 0.180 |
Smoking history (n,%) | 29 (34.12) | 30 (34.09) | 28 (33.73) | 36 (42.35) | 0.585 |
Prior MI (n, %) | 25 (29.41) | 20 (22.73) | 17 (20.48) | 21 (24.71) | 0.707 |
Prior stent (n, %) | 6 (7.06) | 7 (7.95) | 9 (10.84) | 7 (8.24) | 0.837 |
Heart failure (n, %) | 16 (18.82) | 22 (25.00) | 11 (13.25) | 18 (21.18) | 0.271 |
Hyperlipidemia (n, %) | 43 (50.58) | 52 (59.09) | 48 (57.83) | 34 (40.00) | 0.049 |
Chronic kidney diease (n, %) | 25 (29.41) | 25 (28.41) | 28 (33.73) | 18 (21.18) | 0.316 |
DM (n, %) | 46 (54.12) | 43 (48.86) | 43 (51.80) | 35 (41.18) | 0.357 |
Anemia (n, %) | 29 (34.12) | 36 (40.91) | 28 (33.73) | 32 (37.64) | 0.724 |
SBP (mmHg) | 130.74 ± 16.17 | 132.97 ± 19.19 | 134.61 ± 19.99 | 132.72 ± 19.03 | 0.599 |
DBP (mmHg) | 66.78 ± 10.92 | 69.62 ± 13.55 | 68.72 ± 12.23 | 67.61 ± 10.57 | 0.724 |
Hypertension with very high risk (n, %) | 83(97.65) | 85(96.59) | 80(96.39) | 83(97.65) | 0.759 |
BMI (kg/m2) | 24.59 ± 3.05 | 23.96 ± 2.72 | 24.51 ± 3.33 | 23.32 ± 3.27 | 0.079 |
Hemoglobin (g/l) | 123.12 ± 15.64 | 121.03 ± 18.69 | 121.93 ± 17.15 | 125.69 ± 18.77 | 0.417 |
WBC (*109/l) | 6.20 ± 2.26 | 6.60 ± 2.34 | 8.28 ± 3.15 | 10.89 ± 4.19 | 0.000 |
RDW (%) | 13.37 ± 0.83 | 13.82 ± 1.53 | 13.84 ± 1.38 | 13.16 ± 1.60 | 0.084 |
Platelet (*109/l) | 169.92 ± 4.31 | 178.49 ± 56.76 | 184.76 ± 71.57 | 187.54 ± 56.15 | 0.196 |
Platelet/lymphocyte ratio | 488.36 ± 150.47 | 694.37 ± 242.26 | 1086.24 ± 510.12 | 2669.29 ± 1787.72 | 0.000 |
PDW (%) | 12.06 ± 1.69 | 11.57 ± 2.98 | 10.25 ± 2.86 | 10.51 ± 3.39 | 0.005 |
Creatinine (umol/l) | 110.26 ± 53.32 | 108.89 ± 51.46 | 113.69 ± 51.07 | 103.69 ± 57.67 | 0.646 |
GFR (ml/min) | 72.32 ± 30.42 | 70.87 ± 26.37 | 72.21 ± 33.17 | 79.12 ± 34.55 | 0.313 |
FBG (mmol/l) | 6.37 ± 2.46 | 6.11 ± 1.89 | 7.31 ± 2.56 | 8.80 ± 2.89 | 0.000 |
Fe (umol/l) | 17.27 ± 7.16 | 14.39 ± 8.07 | 12.18 ± 7.97 | 8.91 ± 6.02 | 0.000 |
TC (mmol/l) | 3.08 ± 1.68 | 2.92 ± 1.76 | 2.68 ± 1.89 | 1.79 ± 2.00 | 0.000 |
HDL-C (mmol/l) | 0.99 ± 0.42 | 0.98 ± 0.45 | 1.06 ± 0.42 | 1.30 ± 0.45 | 0.001 |
LDL-C (mmol/l) | 1.98 ± 0.83 | 1.92 ± 0.88 | 2.04 ± 0.75 | 1.91 ± 0.73 | 0.834 |
TG (mmol/l) | 1.33 ± 1.18 | 1.22 ± 1.08 | 1.03 ± 1.01 | 0.84 ± 1.03 | 0.000 |
CRP (mg/dl) | 0.98 ± 1.78 | 1.62 ± 2.51 | 2.34 ± 2.58 | 4.89 ± 5.69 | 0.000 |
Ejection fraction (%) | 53.78 ± 11.89 | 50.72 ± 13.27 | 41.52 ± 13.30 | 36.33 ± 8.17 | 0.000 |
RDW | |||||
---|---|---|---|---|---|
quartile 1 | quartile 2 | quartile 3 | quartile4 | P | |
(RDW < 12.8,n = 69) | (RDW 12.8–13.3,n = 89) | (RDW 13.4 ~ 14.2,n = 95) | (RDW > 14.2,n = 88) | ||
Age (year) | 87.25 ± 4.76 | 86.31 ± 5.43 | 88.46 ± 5.25 | 87.55 ± 4.92 | 0.067 |
Male (n, %) | 67 (97.10) | 85 (95.51) | 94 (98.95) | 82 (93.18) | 0.210 |
Smoking history (n, %) | 23 (33.33) | 35 (39.33) | 34 (35.79) | 31 (35.23) | 0.882 |
Prior MI (n, %) | 20 (28.99) | 20 (22.47) | 22 (23.15) | 24 (27.27) | 0.166 |
Prior stent (n, %) | 7 (10.14) | 11 (12.36) | 3 (3.15) | 8 (9.10) | 0.099 |
Heart failure (n, %) | 7 (10.16) | 17 (19.10) | 17 (17.89) | 26 (29.55) | 0.022 |
Hyperlipidemia (n, %) | 38 (55.07) | 39 (43.82) | 44 (46.31) | 56 (63.64) | 0.034 |
CKD (n, %) | 14 (20.21) | 23 (25.83) | 24 (25.26) | 36 (40.91) | 0.021 |
DM (n, %) | 38 (55.07) | 44 (49.43) | 47 (49.47) | 38 (43.18) | 0.527 |
Anemia (n, %) | 15 (21.73) | 26 (29.21) | 39 (41.05) | 45 (51.10) | 0.011 |
SBP(mmHg) | 132.52 ± 18.27 | 132.17 ± 18.43 | 131.28 ± 19.04 | 135.21 ± 18.72 | 0.529 |
DBP (mmHg) | 70.56 ± 15.08 | 61.62 ± 10.51 | 68.52 ± 11.19 | 65.71 ± 10.95 | 0.062 |
Hypertension with very high risk (n, %) | 67 (97.10) | 85 (95.50) | 92 (96.84) | 87 (98.86) | 0.778 |
BMI (kg/m2) | 24.73 ± 3.17 | 23.77 ± 2.86 | 23.91 ± 3.21 | 24.26 ± 3.15 | 0.300 |
Hemoglobin (g/l) | 128.79 ± 13.67 | 125.04 ± 16.80 | 122.29 ± 16.87 | 117.52 ± 19.77 | 0.010 |
WBC (*109/l) | 7.67 ± 3.78 | 7.37 ± 3.21 | 8.15 ± 3.53 | 8.75 ± 3.75 | 0.061 |
Platelet (*109/l) | 173.83 ± 49.55 | 179.10 ± 52.42 | 180.41 ± 52.30 | 186.13 ± 72.84 | 0.612 |
PDW (%) | 10.60 ± 3.42 | 11.27 ± 2.48 | 11.88 ± 1.73 | 11.43 ± 1.63 | 0.049 |
Creatinine (umol/l) | 96.29 ± 28.91 | 102.37 ± 34.73 | 109.86 ± 34.74 | 125.03 ± 72.26 | 0.040 |
GFR (ml/min) | 78.48 ± 29.16 | 74.02 ± 26.46 | 72.51 ± 32.65 | 68.50 ± 35.67 | 0.252 |
FBG (mmol/l) | 7.26 ± 2.83 | 6.83 ± 2.51 | 6.98 ± 2.50 | 7.01 ± 2.57 | 0.787 |
Fe (umol/l) | 13.73 ± 8.23 | 15.09 ± 9.53 | 12.15 ± 6.06 | 11.91 ± 7.41 | 0.029 |
TC (mmol/l) | 2.87 ± 2.00 | 2.83 ± 1.78 | 2.50 ± 1.97 | 2.53 ± 1.87 | 0.621 |
HDL-C (mmol/l) | 1.05 ± 0.41 | 1.14 ± 0.43 | 1.01 ± 0.48 | 1.04 ± 0.45 | 0.319 |
LDL-C (mmol/l) | 2.14 ± 0.97 | 1.97 ± 0.64 | 1.91 ± 0.95 | 1.92 ± 0.62 | 0.387 |
TG (mmol/l) | 1.08 ± 1.18 | 0.99 ± 0.90 | 0.91 ± 1.00 | 1.16 ± 136 | 0.477 |
CRP (mg/dl) | 2.33 ± 4.75 | 2.80 ± 3.18 | 2.78 ± 4.30 | 2.85 ± 3.71 | 0.900 |
Ejection fraction(%) | 48.70 ± 13.61 | 46.61 ± 13.73 | 44.93 ± 14.25 | 42.29 ± 12.30 | 0.023 |
Follow-up results
Group | All-cause death | |||
---|---|---|---|---|
Day 7 | Day 14 | Day 30 | Day 90 | |
quartile1 (n, %) | 1 (1.18) | 0 (0.00) | 0 (0.00) | 0 (0.00) |
quartile2 (n, %) | 0 (0.00) | 0 (0.00) | 1 (1.14) | 0 (0.00) |
quartile3 (n, %) | 0 (0.00) | 1 (1.14) | 2 (2.41) | 8 (9.41) |
quartile4 (n, %) | 2 (2.35) | 1 (1.14) | 2 (2.41) | 9 (10.59) |
Death for all cause | Survival |
P
| |
---|---|---|---|
(n = 27) | (n = 314) | ||
Age (year) | 89.29 ± 4.57 | 87.26 ± 5.25 | 0.052 |
Prior MI (n, %) | 7 (25.93) | 79 (25.16) | 0.943 |
Heart failure (n,%) | 3 (11.11) | 64 (20.38) | 0.318 |
DM (n,%) | 15 (55.56) | 152 (48.41) | 0.304 |
Hyperlipidemia (n, %) | 12 (44.44) | 165 (52.55) | 0.431 |
BMI (kg/m2) | 22.31 ± 3.31 | 24.25 ± 3.05 | 0.012 |
SBP(mmHg, | 133.29 ± 18.43 | 126.85 ± 20.16 | 0.085 |
DBP (mmHg) | 68.31 ± 12.02 | 62.48 ± 9.60 | 0.016 |
Hemoglobin (g/l) | 115.07 ± 20.42 | 123.78 ± 17.05 | 0.040 |
WBC (*109/l) | 8.90 ± 5.62 | 7.92 ± 3.35 | 0.176 |
RDW (%) | 14.18 ± 1.38 | 13.61 ± 1.37 | 0.041 |
Platelet (*109/l) | 188.07 ± 60.65 | 179.55 ± 57.54 | 0.463 |
Platelet/lymphocyte ratio | 1836.84 ± 1416.97 | 1184.80 ± 1235.71 | 0.010 |
NLR | 7.95 ± 6.88 | 4.97 ± 5.72 | 0.011 |
Creatinine (umol/l) | 110.74 ± 61.19 | 108.97 ± 52.44 | 0.868 |
CRP (mg/dl) | 3.49 ± 2.88 | 2.63 ± 4.08 | 0.316 |
HR | P | IC.inf | IC.sup | |
---|---|---|---|---|
Quartile 2 | 3.629 | 0.838 | 0.377 | 18.995 |
Quartile 3 | 9.646 | 0.041 | 1.302 | 34.457 |
Quartile 4 | 16.451 | 0.007 | 2.137 | 66.643 |
SBP | 0.993 | 0.678 | 0.962 | 1.025 |
DBP | 0.956 | 0.096 | 0.906 | 1.008 |
BMI | 0.898 | 0.190 | 0.765 | 1.055 |
Age | 1.126 | 0.053 | 0.998 | 1.271 |
CRP | 1.042 | 0.599 | 0.895 | 1.213 |
HR | P | IC.inf | IC.sup | |
---|---|---|---|---|
RDW Quartile 2 | 0.737 | 0.752 | 0.111 | 4.883 |
RDW Quartile 3 | 1.872 | 0.088 | 0.811 | 8.252 |
RDW Quartile 4 | 2.588 | 0.053 | 0.960 | 10.012 |
SBP | 0.982 | 0.315 | 0.949 | 1.017 |
DBP | 0.972 | 0.330 | 0.918 | 1.029 |
BMI | 0.901 | 0.266 | 0.750 | 1.083 |
Age | 1.094 | 0.163 | 0.965 | 1.240 |
CRP | 1.113 | 0.117 | 0.973 | 1.273 |