RESUMO
Background: Patients with cirrhosis have an increased risk of short-term mortality, however, few studies quantify the association between neutrophil-to-lymphocyte ratio (NLR) and 90-day transplant-free mortality in cirrhotic patients. Methods: We prospectively analyzed 3,970 patients with chronic liver diseases from two multicenter cohorts in China (January 2015 to December 2016 and July 2018 to January 2019). Restricted cubic splines (RCS) were used to analyze the relation of NLR and all-causes 90-day transplant-free mortality in cirrhosis. Results: A total of 2,583 cirrhotic patients were enrolled in our study. Restricted cubic splines showed that the odds ratio (OR) of all causes 90-day transplant-free mortality started to increase rapidly until around NLR 6.5, and then was relatively flat (p for non-linearity <0.001). The risk of 90-day transplant-free mortality in cirrhotic patients with NLR < 6.5 increased with an increment of 23% for every unit increase in NLR (p < 0.001). The patients with NLR < 4.5 had the highest risk (OR: 2.34, 95% CI 1.66-3.28). In multivariable-adjusted stratified analyses, the increase in the incidence of 90-day transplant-free mortality with NLR increasing was consistent (OR >1.0) across all major prespecified subgroups, including infection group (OR: 1.04, 95% CI 1.00-1.09) and non-infection (OR: 1.06, 95% CI 1.02-1.11) group. The trends for NLR and numbers of patients with organ failure varied synchronously and were significantly increased with time from day 7 to day 28. Conclusions: We found a non-linear association between baseline NLR and the adjusted probability of 90-day transplant-free mortality. A certain range of NLR is closely associated with poor short-term prognosis in patients with cirrhosis.
RESUMO
Currently, X-ray fluorescence spectrometer (XRF) is not widely used in the determination of geological samples, and it's much less used in the study of sedimentary facies. XRF was firstly used to identify sedimentary environment of the T3x2 formation in central Sichuan region. In order to investigate the controversy of sedimentary facies and sedimentary environment of T3x2 formation of the Upper Triassic in the Central Part of Sichuan Basin, particularly whether the T3x2 formation is continental deposit or marine deposit, samples were collected in four representative zones from Xujiahe formation in Sichuan Basin. The method of X-ray fluorescence spectrometry were used to analyze the element contents and its' changing characteristics of the deposition from target formation. The sedimentary facies and sedimentary environment of target formation could be quantificationally analyzed by the symbol of corresponding element content. The results of the study show that the ratio of Sr/Ba, Mn/Fe and Sr/Ca of T3x2 formation belong to continental deposits, and it has no significant difference with characteristics of element contents from T3x3 or T3x4. The analysis results about the ratio of Sr/Cu show that the climatic environment of target formation was warm and humid, and T3x2 formation was belong to continental deposits in warm and humid environment, which is similar to the sedimentary environment of T3x3 or T3x4 formation. The relative errors between this method and conventional chemical analysis are less than 3%. The method of X ray fluorescence spectrometry is simple and feasible, which provides a quantitative analysis method for identification of sedimentary facies and sedimentary environment. The paper provides a new feasible method to solve the controversial sedimentary facies, which will promote the using of X-ray fluorescence spectrometric analysis method in geology.
