Research Article

Lymphocyte-to-C-Reactive Protein Ratio as an Early Sepsis Biomarker for Neonates with Suspected Sepsis

Table 1

Basic characteristics of study subjects by groups.

VariablesControl ()Sepsis ()Sepsis#
Mild sepsis ()Severe sepsis ()

Age (days)7.0 (4.0, 12.0)10.0 (5.0, 17.0)<0.0015.0 11.0, 18.0)10.0 (5.0, 16.0)0.305
Male, (%)252 (56.0%)497 (60.7%)0.105222 (59.8%)275 (6.4%)0.242
Weight (kg)0.027<0.001
Temperature (°C)<0.0010.429
Respiratory (rate/minute)<0.0010.336
Heart rate (bpm)<0.0010.047
SBP (mm, Hg)0.508<0.001
DBP (mm, Hg)0.289<0.001
PCT (ng/mL)0.14 (0.10, 0.25)0.32 (0.14, 1.53)<0.0010.23 (0.11, 0.81)0.43 (0.16, 2.39)<0.001
CRP (mg/L)0.7 (0.7, 0.7)0.7 (0.7, 15.3)<0.0010.7 (0.7, 11.1)0.7 (0.7, 17.7)0.064
ALB (g/L)<0.001<0.001
ALT (U/L)25.7 (20.1, 33.5)28.2 (21.3, 37.4)<0.00128.1 (21.1, 35.8)28.5 (21.6, 39.9)0.088
AST (U/L)38.1 (30.3, 51.3)37.7 (27.7, 54.5)0.37236.1 (27.4, 48.6)39.2 (28.2, 63.3)0.003
WBC (×109 cells/L)10.03 (8.09, 12.54)10.13 (7.39, 14.65)0.3709.84 (7.66, 13.37)10.52 (6.96, 15.72)0.244
Neutrophil (×109 cells/L)4.24 (3.17, 6.25)5.30 (3.16, 8.71)<0.0014.80 (3.21, 8.11)5.70 (3.13, 9.52)0.091
Lymphocyte (×109 cells/L)3.98 (2.95, 5.25)3.39 (2.10, 4.75)<0.0013.47 (2.34, 4.62)3.30 (1.87, 4.90)0.157
LCR5.34 (3.38, 7.25)2.61 (0.20, 5.71)<0.0013.32 (0.24, 6.04)2.26 (0.14, 5.30)0.031
Length of hospital stay (days)9.0 (8.0, 11.0)15.0 (10.0, 23.0)<0.00113.0 (9.0, 18.0)18.0 (12.0, 26.0)<0.001

Notes: all values are presented as the or (%) or as the median (interquartile range). value among the control and sepsis groups. # value among the control, mild, and severe sepsis groups. Abbreviations: SBP: systolic blood pressure; DBP: diastolic blood pressure; PCT: procalcitonin; CRP: C-reactive protein; ALB: albumin; ALT: alanine aminotransferase; AST: aspartate aminotransferase; WBC: white blood cell; LCR: lymphocyte-to-C-reactive protein ratio.