Research Article

The Neutrophil-to-Lymphocyte Ratio is Associated with the Requirement and the Duration of Invasive Mechanical Ventilation in Acute Respiratory Distress Syndrome Patients: A Retrospective Study

Table 3

Influence factors for requirement of IMV in ARDS patients by univariate and multivariate logistic regression analysis.

VariablesUnivariate analysisMultivariate analysis
OR (95% CI) valueOR (95% CI) value

Male, n (%)1.642 (1.098–2.456)0.016
PaO2/FiO2 (mmHg)0.991 (0.988–0.994)<0.0010.993 (0.989–0.996)<0.001
Hb, g/L0.989 (0.982–0.996)0.0030.989 (0.981–0.998)0.012
Hematocrit0.106 (0.012–0.960)0.046
Platelets, 109/L0.998 (0.996–1.000)0.061
Lactate, mmol/L1.166 (1.075–1.263)<0.0011.160 (1.063–1.265)0.001
Alb, g/L0.968 (0.942–0.994)0.018
NLR1.046 (1.031–1.062)<0.0011.042 (1.025–1.060)<0.001
APACHE II score1.043 (1.009–1.078)0.012
SOFA score1.137 (1.073–1.205)<0.001
Alimentotherapy1.358 (0.948–1.943)0.095
Vasoactive drugsb3.185 (2.155–4.707)<0.0012.504 (1.601–3.917)<0.001

bVasoactive drugs include epinephrine, norepinephrine, vasopressin, dobutamine, dopamine, and phenylephrine. IMV, invasive mechanical ventilation; ARDS, acute respiratory distress syndrome; Hb, hemoglobin; Alb, albumin; NLR, neutrophil-to-lymphocyte ratio; APACHE II, acute physiology and chronic health evaluation II; SOFA, sequential organ failure assessment; OR, odds ratio; CI, confidence interval.