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  4. Relationship Between the Systemic Immune-Inflammation Index and Deep Venous Thrombosis After Spinal Cord Injury: A Cross-Sectional Study

Relationship Between the Systemic Immune-Inflammation Index and Deep Venous Thrombosis After Spinal Cord Injury: A Cross-Sectional Study

Journal of Inflammation Research, 2024 · DOI: https://doi.org/10.2147/JIR.S491055 · Published: November 6, 2024

Spinal Cord InjuryCardiovascular ScienceGenetics

Simple Explanation

This study investigated the link between the systemic immune-inflammation index (SII) and deep vein thrombosis (DVT) in patients with spinal cord injury (SCI). We found that 23.1% of SCI patients had DVT. The risk of DVT was significantly increased by 39% with each 1-point increase in SII (OR = 1.39, 95% CI: 1.03–1.87, p = 0.031). Our results showed that higher SII values were associated with an increased risk of DVT, independent of other factors. This suggests that SII may be used as a potential biomarker to predict DVT in SCI patients, highlighting the importance of early detection and intervention.

Study Duration
January 1, 2018 and January 1, 2024
Participants
382 participants with SCI
Evidence Level
Cross-sectional study

Key Findings

  • 1
    A positive association between SII and the risk for DVT was observed (odds ratio 1.39 [95% CI 1.03–1.87]; P=0.032), independent of confounders.
  • 2
    Similar patterns of association were observed in the subgroup analysis (P values for interaction, all >0.05).
  • 3
    Results of the present suggest that higher SII may be associated with DVT in patients with SCI, highlighting a potential link between SII and DVT.

Research Summary

This cross-sectional study explored the relationship between the systemic immune-inflammation index (SII) and deep venous thrombosis (DVT) in patients with spinal cord injury (SCI). The study found a positive association between SII and the risk for DVT, independent of confounders, with similar patterns observed in subgroup analyses. The conclusion suggests that higher SII may be associated with DVT in patients with SCI, highlighting the potential of SII as a valuable predictive biomarker for early detection and intervention.

Practical Implications

Predictive Biomarker

SII can be used as a predictive biomarker for DVT risk in SCI patients.

Early Detection and Intervention

The study highlights the importance of early detection and intervention strategies for DVT in SCI patients.

Clinical Management

Clinicians should consider aberrant SII levels when managing DVT risk in SCI patients.

Study Limitations

  • 1
    Observational study design limits causal inference.
  • 2
    Modest sample size restricts statistical power.
  • 3
    Potential for unmeasured confounders to influence observed associations.

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