Predictive value of neutrophil-to-lymphocyte ratio in terms of need for intensive care unit and mortality in maintenance hemodialysis patients with COVID-19
Hemodialysis International — Oguz EG, Yeter HH, Akcay OF, et al. | January 11, 2022
Researchers investigated whether neutrophil-to-lymphocyte ratio (NLR) could aid in predicting worse outcomes in maintenance hemodialysis (MHD) patients.
A multicentered retrospective study of 123 MHD patients who had received inpatient care due to COVID-19 infection.
COVID-19 infection linked with death of 28 (23%) patients with MHD.
Relative to survivors, nonsurvivors were significantly older and had higher rates of diabetes mellitus and coronary artery disease.
Following were identified as independent factors associated with mortality: age older than 60 years, higher ferritin, and NLR > 5.17.
Relative to C reactive protein and systemic inflammatory index, NLR had favorable predictive value in terms of need for ICU and mortality in MHD patients.
Determination of the poor prognosis with simple and easily applicable markers may aid in providing early supportive treatments and thereby reduce mortality in these patients.