Diagnostic value of neutrophil-to-lymphocyte and platelet-to-lymphocyte ratio to predict recurrent pregnancy loss and abortion; a systematic review and meta-analysis

© 2024 The Authors. Immunity, Inflammation and Disease published by John Wiley & Sons Ltd..

OBJECTIVE: This systematic review and meta-analysis aimed to evaluate the diagnostic value of the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in women with a history of abortion (missed and threatened) and recurrent pregnancy loss (RPL) in comparison with healthy pregnancies.

METHODS: Electronic databases including MEDLINE, Scopus, Web of Science, Embase, and Cochrane Library were searched for NLR and PLR in women who experienced early pregnancy loss up to January 1, 2023 with a combination of proper keywords. Meta-analysis was done for comparison with three or more studies and summary estimates were measured.

RESULTS: A total of 390 citations were retrieved initially, and after screening, 16 articles were deemed eligible for the final review. Among these, 14 studies underwent meta-analysis. The meta-analysis revealed that the standard mean of the NLR was significantly higher in abortion cases compared to the control group. However, there was no significant difference in the PLR between the pregnancy loss group and the control group.

CONCLUSION: NLR was significantly higher among RPL patients compared to the control group, according to these data, NLR may be capable of being used in the diagnosis of RPL as an easy, cheap, and accessible modality. Further studies, which take these variables into account, will need to be undertaken to determine the diagnostic value of NLR and PLR in early pregnancy loss.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Immunity, inflammation and disease - 12(2024), 3 vom: 20. März, Seite e1210

Sprache:

Englisch

Beteiligte Personen:

Hantoushzadeh, Sedigheh [VerfasserIn]
Gargar, Omid Kohandel [VerfasserIn]
Jafarabady, Kyana [VerfasserIn]
Rezaei, Mohammad Moein [VerfasserIn]
Asadi, Fatemeh [VerfasserIn]
Eshraghi, Nasim [VerfasserIn]
Panahi, Zahra [VerfasserIn]
Shirdel, Saeedeh [VerfasserIn]
Mirzamoradi, Masoumeh [VerfasserIn]
Ghaemi, Marjan [VerfasserIn]

Links:

Volltext

Themen:

Inflammatory markers
Journal Article
Meta-Analysis
Missed abortion
Recurrent pregnancy loss
Review
Systematic Review
Systematic review
Threatened abortion

Anmerkungen:

Date Completed 21.03.2024

Date Revised 23.03.2024

published: Print

Citation Status MEDLINE

doi:

10.1002/iid3.1210

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369960246