Impact of high neutrophil-to-lymphocyte ratio on survival in hospitalized cancer patients with COVID-19

Cancer Med. 2023 Mar;12(6):7164-7169. doi: 10.1002/cam4.5426. Epub 2022 Nov 13.

Abstract

Neutrophil-to-lymphocyte ratio (NLR) has been studied as a prognostic factor for mortality in COVID-19 patients. Our study aimed to evaluate the association between NLR at COVID-19 diagnosis and survival during the following 90 days in hospitalized patients with solid cancer. Between May 2020 and June 2021, 120 patients were included in a retrospective cohort study. Univariable analysis showed patients with an NLR > 8.3 were associated with an increased risk of death (HR: 4.34; 95% CI: 1.74-10.84) compared to patients with NLR < 3.82 and with NLR ≥3.82 and ≤8.30 (HR: 2.89; 95% CI: 1.32-6.36). Furthermore, on multivariable analysis, NLR > 8.30 independently correlated with increased mortality. In patients with solid malignancies with COVID-19, an NLR > 8.3 is associated with an increased risk of death.

Keywords: COVID-19; NLR; biomarkers; cancer; inflammatory markers; neutrophil lymphocyte ratio; neutrophils.

MeSH terms

  • COVID-19 Testing
  • COVID-19* / complications
  • Humans
  • Lymphocyte Count
  • Lymphocytes
  • Neoplasms* / complications
  • Neutrophils
  • Prognosis
  • Retrospective Studies