Sepsis & infection

Lymphopenia and mortality in adult sepsis: A systematic review and focused meta-analysis of prognostic evidence

J Crit CarePublished Systematic review and meta-analysis of prognostic studies

Pooled result · MortalityResult — go to the resultPooled relative effect 1.94 95% CI 1.39–2.70

Authors' conclusion

Lymphopenia-related phenotypes are associated with mortality in adult sepsis, but the small quantitative evidence base and moderate-to-substantial heterogeneity limit the precision and generalizability of the pooled effect.

Study context

Population
Adults with sepsis29 studies
Comparison
Adverse lymphopenia-related phenotypes vs none
Outcome
Mortality
Methodological detailsrandom-effects generic inverse-variance model, leave-one-out analyses
  • Random-effects generic inverse-variance model
  • Leave-one-out analyses

Pooled result

As reported in the abstract

Pooled relative effect

1.94

95% CI 1.39–2.70

Further pooled results

Leave-one-out sensitivity analyses

Direction of association retained; heterogeneity sensitive to individual studies

Pathogen-specific associations

Pathogen-related observations insufficient for pathogen-specific quantitative inference

Original publication

Lymphopenia and mortality in adult sepsis: A systematic review and focused meta-analysis of prognostic evidence. J Crit Care. Published 19 September 2026. doi:10.1016/j.jcrc.2026.155753

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