PMID- 27908556 OWN - NLM STAT- MEDLINE DCOM- 20171204 LR - 20171204 IS - 1532-8511 (Electronic) IS - 1052-3057 (Linking) VI - 26 IP - 5 DP - 2017 May TI - The Relationship between Neutrophil-to-Lymphocyte Ratio and Intracerebral Hemorrhage in Type 2 Diabetes Mellitus. PG - 930-937 LID - S1052-3057(16)30444-X [pii] LID - 10.1016/j.jstrokecerebrovasdis.2016.10.041 [doi] AB - INTRODUCTION: Chronic systematic inflammation has been suggested to be associated with the occurrence and development of cardiovascular events. Low-grade systematic inflammation persists in type 2 diabetes mellitus (T2DM) patients. In addition, the risk of cerebral hemorrhage in these patients is increased compared with non-diabetic patients. Neutrophil-to-lymphocyte ratio (NLR) is the ratio derived by dividing the neutrophil count with the lymphocyte count from a peripheral blood sample. This study aimed to explore the relation between NLR and cerebral hemorrhage, and to prove that NLR is an independent risk factor of cerebral hemorrhage in T2DM patients. METHODS: In total, 429 cases of T2DM patients were included. The patients were divided into two groups depending on the presence of cerebral hemorrhage: the cerebral hemorrhage group (n = 87) and the control group (n = 342). Based on clinical and laboratory data of diabetes diagnosis, this article investigates the relationship between NLR and the risk of cerebral hemorrhage. RESULTS: Increase in NLR was positively correlated with the incidence of cerebral hemorrhage in T2DM patients and might serve as an independent risk factor of cerebral hemorrhage in T2DM patients (OR: 4.451, 95% CI: 2.582-7.672). NLR >2.58 might be useful in predicting the threshold value of cerebral hemorrhage risk in newly diagnosed T2DM patients (area under the curve: .72, 95% CI: .659-.780, P < .001) CONCLUSION: As an indicator of the degree of systematic inflammation, NLR is an independent risk factor of cerebral hemorrhage in T2DM patients. CI - Copyright (c) 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved. FAU - Luo, Peng AU - Luo P AD - Zhujiang Hospital, Southern Medical University, Guangzhou, China. FAU - Li, Rui AU - Li R AD - Zhujiang Hospital, Southern Medical University, Guangzhou, China. FAU - Yu, Siyuan AU - Yu S AD - Zhujiang Hospital, Southern Medical University, Guangzhou, China. FAU - Xu, Tingting AU - Xu T AD - Zhujiang Hospital, Southern Medical University, Guangzhou, China. FAU - Yue, Shufan AU - Yue S AD - Zhujiang Hospital, Southern Medical University, Guangzhou, China. FAU - Ji, Yongli AU - Ji Y AD - Zhujiang Hospital, Southern Medical University, Guangzhou, China. FAU - Chen, Xin AU - Chen X AD - Zhujiang Hospital, Southern Medical University, Guangzhou, China. Electronic address: chen_xin1020@163.com. FAU - Xie, Haiting AU - Xie H AD - Zhujiang Hospital, Southern Medical University, Guangzhou, China. Electronic address: zjyysjnk@qq.com. LA - eng PT - Journal Article DEP - 20161128 PL - United States TA - J Stroke Cerebrovasc Dis JT - Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association JID - 9111633 SB - IM MH - Aged MH - Area Under Curve MH - Cerebral Hemorrhage/*blood/diagnosis/etiology MH - Chi-Square Distribution MH - Diabetes Mellitus, Type 2/*blood/complications/diagnosis MH - Female MH - Humans MH - Inflammation/*blood/complications/diagnosis MH - Logistic Models MH - Lymphocyte Count MH - *Lymphocytes MH - Male MH - Middle Aged MH - *Neutrophils MH - Odds Ratio MH - Predictive Value of Tests MH - ROC Curve MH - Retrospective Studies MH - Risk Factors OTO - NOTNLM OT - Intracerebral hemorrhage OT - inflammation OT - neutrophil-to-lymphocyte ratio OT - type 2 diabetes mellitus EDAT- 2016/12/03 06:00 MHDA- 2017/12/05 06:00 CRDT- 2016/12/03 06:00 PHST- 2016/08/13 00:00 [received] PHST- 2016/10/26 00:00 [revised] PHST- 2016/10/31 00:00 [accepted] PHST- 2016/12/03 06:00 [pubmed] PHST- 2017/12/05 06:00 [medline] PHST- 2016/12/03 06:00 [entrez] AID - S1052-3057(16)30444-X [pii] AID - 10.1016/j.jstrokecerebrovasdis.2016.10.041 [doi] PST - ppublish SO - J Stroke Cerebrovasc Dis. 2017 May;26(5):930-937. doi: 10.1016/j.jstrokecerebrovasdis.2016.10.041. Epub 2016 Nov 28.