Meta-analysis of the Value of Some Hematological Parameters in Predicting MACE After PCI in Acute Myocardial Infarction
Objective To systematically evaluate the value of platelet count(PLT),platelet-to-lymphocyte ratio(PLR),neutrophil-to-lymphocyte ratio(NLR)and mean platelet volume(MPV)in predicting major adverse cardiovascular events(MACE)after PCI in patients with acute myocardial infarction by Meta-analysis.Methods PubMed,EMbase,CNKI,Wanfang and VIP databases were searched by computer for cohort studies and case-control studies on the prediction of MACE after PCI by some hematological parameters published from the establishment of the database to March 1,2022.Meta-analysis was performed using RevMan 5.4.1 software.Results A total of 33 articles were included,with an overall sample size of 11782 cases.Meta-analysis showed that high PLT(OR=48.03,95%CL4.57-91.48),high PLR(OR=3.18,95%CI:1.64-6.15),high NLR(OR=2.06,95%CI:1.53-2.58)and high MPV(OR=0.84,95%CI:0.60-1.08)were prone to postoperative MACE,and the differences were statistically significant(P<0.05).Conclusion PLT,PLR,NLR and MPV have certain predictive value for MACE after PCI in patients with acute myocardial infarction.