Review Article

Neutrophil-to-Lymphocyte Ratio and Early Neurological Deterioration in Stroke Patients: A Systematic Review and Meta-Analysis

Table 1

General characteristics of included studies.

First authorYearCountryType of strokeEthnicityDesignEND definitionEND groupNon-END groupNOS score
NLRNLR

Lattanzi et al. [19]2017ItalyHemorrhagicCaucasianR(1) An on the NIHSS score, (2) a on GCS, or (3) death occurred from the time of admission to 7 days posthemorrhage541388
Qi et al. [22]2018ChinaHemorrhagicEast AsianR(1) An on the NIHSS score, (2) a on GCS, or (3) death occurred from the time of admission to 7 days posthemorrhage1663927
Nam et al. [21]2019KoreaIschemicEast AsianRAn on the total NIHSS score or ≥1 on the motor NIHSS score within the first 72 hours of admission632867
Chen et al. [15]2020ChinaIschemicEast AsianR(1) An increase in from baseline or (2) an increase in Ia of within 72 h771807
Cong and Ma [16]2021ChinaIschemicEast AsianR(1) An points in the total NIHSS score compared to the score at admission, (2) an point in the NIHSS specificity subitems, namely, level of consciousness (1a–1c) or motor capacity (5a–6b), or (3) new neurological deficits despite no change in the NIHSS score55748
Ferro et al. [17]2021PortugalIschemicCaucasianRAn increase in NIHSS at 24 hours from the baseline852408
Gong et al. [18]2021ChinaIschemicEast AsianRAn increase in the NIHSS score by ≥4 points in the total score within 24 h after thrombolysis1934697
Mohamed et al. [20]2021EgyptHemorrhagicCaucasianP(1) An on the NIHSS score, (2) a on GCS, or (3) death occurred from the time of admission to 7 days posthemorrhage17638
Zhi and Xiaopeng [23]2021ChinaIschemicEast AsianRAn on the total NIHSS score or ≥1 on the motor NIHSS score within the first 72 hours of admission321405

R: retrospective; P: prospective; : number; SD: standard deviation; NLR: neutrophil to lymphocyte ratio; NOS: Newcastle-Ottawa scale.