Skip to main content
. 2021 Oct 22;12:741061. doi: 10.3389/fimmu.2021.741061

Table 2.

Studies comparing NLR with other biomarkers (studies involving discussed markers other than PLR, LMR, and d-NLR) among different measured variables.

Study Measured variable Summary of findings
(68) COVID-19 diagnosis SII and NLR were higher in patients with SARS-CoV-2 diagnosis in the multivariate analysis (order of higher AUC: SII > NLR). PLR did not correlate.
(71) Disease severity Higher hsCAR, higher hsCPAR, and lower PNI correlated in the multivariate analysis, but d-NLR and SII only correlated in the univariate analysis. NLR, PLR, LMR, and AFR did not correlate.
(79) Disease severity Both CAR and NLR predicted disease severity in the multivariate analysis, but CAR had higher OR (OR = 17.65, p = 0.001 vs. OR = 1.51, p = 0.007).
(80) Disease severity In this meta-analysis, both NLR and LCR predicted disease severity [order of better prediction: NLR (SMD: 2.404) > LCR (SMD: −0.912)]
(61) Mortality In cancer patients: higher NLR, lower PNI, higher mGPS, and higher PI all predicted an increased mortality (p < 0.0001 for all), PLR did not.
(70) Mortality NLR, d-NLR, SII, and PNI all predicted mortality.
(81) Mortality NLR, d-NLR, and SII all predicted mortality in the univariate analysis; however, only SII was significant in the multivariate analysis.
(82) Mortality PNI independently predicted mortality in the multivariate analysis (AUC: 0.849). NLR and PLR significantly correlated in the univariate analysis.
(64) Mortality, ICU admission, requiring invasive mechanical ventilation, and dialysis Higher LCR on day 1 predicted an increased need for ICU admission and invasive mechanical ventilation. NLR could not predict any of the variables on day 1.
Lower LCR on day 7 predicted increased mortality, while higher NLR correlated with requiring invasive mechanical ventilation and mortality.

SII, systemic immune-inflammation index; NLR, neutrophil to lymphocyte ratio; PLR, platelet to lymphocyte ratio; AUC, area under the curve; hsCAR, high-sensitivity C-reactive protein to albumin ratio; hsCPAR, high-sensitivity C-reactive protein to prealbumin ratio; PNI, prognostic nutritional index; LMR, lymphocyte to monocyte ratio; d-NLR, derived-NLR; AFR, albumin to fibrinogen ratio; CAR, C-reactive protein to albumin ratio; OR, odds ratio; LCR, lymphocyte to C-reactive protein ratio; SMD, standardized mean difference; mGPS, modified Glasgow prognostic score; PI, prognostic index.