🦠 Neutrophil-to-Lymphocyte Ratio (NLR)
UseGauge physiological stress/inflammation and prognosis.
SourceZahorec R. Bratisl Lek Listy 2001
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Non-specific — rises with infection, stress and malignancy.
When to use
Gauge physiological stress/inflammation and prognosis.
How it works
NLR = absolute neutrophils ÷ absolute lymphocytes. Adult normal about 1–2; > 3.0 or < 0.7 is abnormal; 2.3–3.0 is a grey zone (Zahorec 2021).
Key points
- Non-specific — rises with infection, stress and malignancy.
- Has prognostic value across many conditions.
- Interpret in clinical context.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Absolute neutrophils | 6.0 ×10⁹/L |
|---|---|
| Absolute lymphocytes | 2.0 ×10⁹/L |
→NLR3.0
- Interpretation:2.3–3.0 — grey zone
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Neutrophil-to-Lymphocyte Ratio (NLR)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Neutrophil-to-Lymphocyte Ratio (NLR) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Neutrophil-to-Lymphocyte Ratio (NLR) calculated in practice? Can you show a worked example?
- Inputs: Absolute neutrophils 6.0 ×10⁹/L, Absolute lymphocytes 2.0 ×10⁹/L → Result: NLR 3.0(Interpretation: 2.3–3.0 — grey zone)