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Diagnostic value of platelet to lymphocyte ratio in preeclampsia: a systematic review and meta-analysis
Ye, Dan1; Li, Shuwen2; Ma, Zhenqin1; Ding, Yi1; He, Rongxia2,3
2023-12-15
Source PublicationJournal of Maternal-Fetal & Neonatal Medicine   Impact Factor & Quartile
ISSN1476-7058 ; 1476-4954
Volume36Issue:2
page numbers10
AbstractBackground Using straightforward and accessible haematological parameters platelet/lymphocyte ratio (PLR) to diagnose preeclampsia (PE) early and precisely remains a challenge. Although several clinical studies suggested that PLR is able to diagnose PE, there has been no systematic evaluation of the diagnostic utility. Objectives To examine the diagnostic accuracy and potential applicability of PLR in the detection of PE. Study design Seven databases were searched using a combination of PLR and PE terms, and all potentially pertinent studies were systematically searched up to March 2023. All potentially relevant studies both prospective and retrospective were reviewed. To assess the diagnostic value of PLR for PE, pooled sensitivity (Sen), specificity (Spe), diagnostic odds ratio (DOR) and area under the summary receiver operating characteristic curve (SROC-AUC) were calculated. Results Thirteen studies were enrolled in the meta-analysis. In the second and third trimesters, the PLR suggested a diagnostic value for PE with a pooled Sen of 54.7% [95% confidence interval (CI) (51.7, 57.6)], Spe of 77.8% [95% CI (75.5, 80.0)], + LR of 2.457 [95% CI (1.897, 3.182)], -LR of 0.584 [95% CI (0.491, 0.695)], DOR of 4.434 [95% CI (3.071, 6.402)], the SROC-AUC of 0.7296 and the standard error (SE) of 0.0370. Conclusion For the diagnosis of PE, PLR has a limited sensitivity but an acceptable specificity, and showed moderate accuracy. Further using complete blood count (CBC) indicators such as PLR alone or in combination to diagnose and predict PE could reduce healthcare costs and improve maternal and child prognosis.
KeywordPreeclampsia platelet to lymphocyte ratio diagnostic test accuracy meta-analysis systematic review >
PublisherTAYLOR & FRANCIS LTD
DOI10.1080/14767058.2023.2234540
Indexed BySCIE
Language英语
WOS Research AreaObstetrics & Gynecology
WOS SubjectObstetrics & Gynecology
WOS IDWOS:001029004500001
Original Document TypeReview
PMID 37455131
Citation statistics
Cited Times:1[WOS]   [WOS Record]     [Related Records in WOS]
Document Type期刊论文
Identifierhttps://ir.lzu.edu.cn/handle/262010/569906
Collection兰州大学
Corresponding AuthorHe, Rongxia
Affiliation
1.Lanzhou Univ, Clin Med Coll 2, Lanzhou, Peoples R China;
2.Lanzhou Univ, Hosp 2, Dept Obstet, Lanzhou, Peoples R China;
3.Lanzhou Univ, Hosp 2, 82 Cuyingmen, Lanzhou 730030, Gansu, Peoples R China
Recommended Citation
GB/T 7714
Ye, Dan,Li, Shuwen,Ma, Zhenqin,et al. Diagnostic value of platelet to lymphocyte ratio in preeclampsia: a systematic review and meta-analysis[J]. Journal of Maternal-Fetal & Neonatal Medicine,2023,36(2).
APA Ye, Dan,Li, Shuwen,Ma, Zhenqin,Ding, Yi,&He, Rongxia.(2023).Diagnostic value of platelet to lymphocyte ratio in preeclampsia: a systematic review and meta-analysis.Journal of Maternal-Fetal & Neonatal Medicine,36(2).
MLA Ye, Dan,et al."Diagnostic value of platelet to lymphocyte ratio in preeclampsia: a systematic review and meta-analysis".Journal of Maternal-Fetal & Neonatal Medicine 36.2(2023).
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