Cardiothoracic & vascular anesthesia

The prognostic value of elevated neutrophil–lymphocyte ratio for cardiac surgery‐associated acute kidney injury: A systematic review and meta‐analysis

Acta Anaesthesiol ScandPublished Systematic review and meta-analysis

Pooled result · Postoperative AKI, elevated preoperative NLRResult — go to the resultOdds ratio 1.45 95% CI 1.18–1.77

Authors' conclusion

Elevated preoperative NLR is a reliable inflammatory biomarker for predicting AKI following cardiac surgery.

Study context

Population
Patients undergoing cardiac surgery
Participants
10,724 patients · 12 studies
Comparison
Elevated vs non-elevated perioperative neutrophil-lymphocyte ratio (NLR)
Outcome
Postoperative acute kidney injury (AKI)
Methodological detailsmeta-regression
  • Meta-regression

Pooled result

Postoperative AKI, elevated preoperative NLR

Odds ratio

1.45

95% CI 1.18–1.77

Elevated vs non-elevated perioperative NLR
OR 1.45 (95% CI 1.18–1.77)

As reported in the abstract

Further pooled results

Postoperative need for renal replacement therapy (RRT), elevated preoperative NLR

OR (95% CI)
Elevated NLRElevated preoperative NLR2.37 (1.50–3.72)

Postoperative NLR

Postoperative NLR measurements not of prognostic significance

Original publication

The prognostic value of elevated neutrophil–lymphocyte ratio for cardiac surgery‐associated acute kidney injury: A systematic review and meta‐analysis. Acta Anaesthesiol Scand. Published 25 November 2022. doi:10.1111/aas.14170

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