Association of inflammatory biomarkers with overall survival in burn patients: a systematic review and meta-analysis

Autor: Shima Nourigheimasi, Erfan Yazdani, Arshin Ghaedi, Monireh Khanzadeh, Brandon Lucke-Wold, Emma Dioso, Aida Bazrgar, Mehrnoosh Ebadi, Shokoufeh Khanzadeh
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Emergency Medicine, Vol 24, Iss 1, Pp 1-17 (2024)
Druh dokumentu: article
ISSN: 1471-227X
DOI: 10.1186/s12873-024-00988-x
Popis: Abstract Introduction The inflammatory response to burn injuries can lead to organ dysfunction that ultimately results in increased mortality and morbidity. This meta-analysis was conducted to determine the efficacy of inflammatory biomarkers, including the neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), procalcitonin (PCT), and C-reactive protein (CRP) as predictive tools of mortality among burn patients. Material and methods The biomarker levels of survivors and non-survivors were consolidated according to guidelines for Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Three main databases were searched electronically: PubMed, Web of Science, and Scopus, on December 8, 2022. The Newcastle–Ottawa Quality Assessment Scale (NOS) was used to evaluate and score the methodological quality of the included studies. The standard mean difference (SMD) with a 95% confidence interval (CI) was utilized. Results Twenty-four studies were included in our systematic review and meta-analysis, (3636 total burn patients), of whom 2878 survived. We found that deceased burn patients had elevated levels of NLR (SMD = 0.60, 95% CI; 0.19–1.00, P
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