The Role of Neutrophil-to-Lymphocyte Ratio (NLR) in Urosepsis-Associated Delirium

Dragoescu, Alice Nicoleta; Padureanu, Vlad; Stanculescu, Andreea Doriana; Chiutu, Luminita; Padureanu, Rodica; Andrei, Maria; Radu, Mihai Alexandru; Mitroi, George; Dragoescu, Petru Octavian

doi:10.7759/cureus.62110

Cureus

2024

DOI: 10.7759/cureus.62110

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The Role of Neutrophil-to-Lymphocyte Ratio (NLR) in Urosepsis-Associated Delirium

Alice Nicoleta Dragoescu,

Vlad Padureanu,

Andreea Doriana Stanculescu

et al.

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2024

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High level of systemic immune inflammation index elevates delirium risk among patients in intensive care unit

Xu,

Zhang,

Zhang

2024

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Evidence regarding the effect of systemic immune-inflammation index on delirium occurrence is limited. This study aimed to investigate the association between SII and delirium in intensive care unit (ICU) patients. Methods: Information was extracted from Medical Information Mart for Intensive Care-IV. Four logistic regression model was established and incorporated with subgroup analysis and restricted cubic spline (RCS). The cutoff value of SII was acquired from receiver operator characteristic curve (ROC), and propensity score matching (PSM) was utilized to attenuate the confounding effect. Survival analysis was utilized to evaluate the relationship between SII and 30-day or 90-day all-cause mortality. Results: Among the 7,518 participants, 1,685 cases of delirium occurred. Individuals in the highest quartile of SII exhibited a heightened delirium risk, with a significant multivariable-adjusted odds ratio (OR) of 3.12(2.24,4.33). Tendency analysis, subgroup analysis and PSM together confirmed the positive relationship. Results of Cox regression displayed the risk of both 30-day and 90-day mortality increased about 50% in the higher-SII group. Conclusion: Higher levels of SII is positively associated with the occurrence of delirium and increased all-cause mortality risk.

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High level of systemic immune inflammation index elevates delirium risk among patients in intensive care unit

Xu,

Zhang,

Zhang

2024

Sci Rep

View full text Add to dashboard Cite

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The Role of Neutrophil-to-Lymphocyte Ratio (NLR) in Urosepsis-Associated Delirium

Cited by 1 publication

References 32 publications

High level of systemic immune inflammation index elevates delirium risk among patients in intensive care unit

High level of systemic immune inflammation index elevates delirium risk among patients in intensive care unit

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