Assessment of Red Cell Distribution Width, Platelet/lymphocyte Ratio, Systemic Immune-inflammation Index, and Neutrophil/lymphocyte Ratio Values in Patients with Central Retinal Artery Occlusion

To evaluate complete blood count (CBC)-derived inflammatory indices in central retinal artery occlusion (CRAO). A total of 42 patients with CRAO (CRAO group) and 42 age- and sex-matched subjects without CRAO (Control group) were included. CBC parameters including red cell distribution width (RDW) le...

Full description

Saved in:
Bibliographic Details
Published inOcular immunology and inflammation Vol. 30; no. 7-8; pp. 1940 - 1944
Main Authors Elbeyli, Ahmet, Kurtul, Bengi Ece, Ozcan, Deniz Ozarslan, Ozcan, Sait Coskun, Dogan, Emine
Format Journal Article
LanguageEnglish
Published England Taylor & Francis 17.11.2022
Subjects
blood cell count
Blood Platelets
Central retinal artery occlusion
Erythrocyte Indices
Humans
Inflammation
Lymphocytes
neutrophil/lymphocyte ratio
Neutrophils
platelet/lymphocyte ratio
red cell distribution width
Retinal Vein Occlusion - diagnosis
systemic immune-inflammation index
systemic immune-inflammation index
blood cell count
platelet/lymphocyte ratio
Central retinal artery occlusion
Inflammation
neutrophil/lymphocyte ratio
red cell distribution width
Online AccessGet full text
ISSN0927-3948
1744-5078
1744-5078
DOI10.1080/09273948.2021.1976219

Cover

Abstract To evaluate complete blood count (CBC)-derived inflammatory indices in central retinal artery occlusion (CRAO). A total of 42 patients with CRAO (CRAO group) and 42 age- and sex-matched subjects without CRAO (Control group) were included. CBC parameters including red cell distribution width (RDW) levels were assayed. Platelet/lymphocyte ratio (PLR), systemic immune-inflammation index (SII) and neutrophil/ lymphocyte ratio (NLR) were calculated. RDW, PLR, SII and NLR values were significantly higher in CRAO group than control group [15.2 ± 1.47% vs 13.96 ± 1.13% (p < .001), 127.94 ± 48.21 vs 101.16 ± 24.84 (p = .008), 667.11 ± 357.84 vs 493.44 ± 207.07 (p = .008), 2.70 ± 1.27 vs 2.13 ± 0.83 (p = .018), respectively]. In multivariate analysis only RDW was independent predictor for CRAO (OR 2.317, p < .001). On ROC analysis, area under curve of RDW, PLR, SII, and NLR for CRAO were 0.761, 0.685, 0.622 and 0.618, respectively. RDW seems superior to other inflammatory indices to predict CRAO.
AbstractList To evaluate complete blood count (CBC)-derived inflammatory indices in central retinal artery occlusion (CRAO). A total of 42 patients with CRAO (CRAO group) and 42 age- and sex-matched subjects without CRAO (Control group) were included. CBC parameters including red cell distribution width (RDW) levels were assayed. Platelet/lymphocyte ratio (PLR), systemic immune-inflammation index (SII) and neutrophil/ lymphocyte ratio (NLR) were calculated. RDW, PLR, SII and NLR values were significantly higher in CRAO group than control group [15.2 ± 1.47% vs 13.96 ± 1.13% (p < .001), 127.94 ± 48.21 vs 101.16 ± 24.84 (p = .008), 667.11 ± 357.84 vs 493.44 ± 207.07 (p = .008), 2.70 ± 1.27 vs 2.13 ± 0.83 (p = .018), respectively]. In multivariate analysis only RDW was independent predictor for CRAO (OR 2.317, p < .001). On ROC analysis, area under curve of RDW, PLR, SII, and NLR for CRAO were 0.761, 0.685, 0.622 and 0.618, respectively. RDW seems superior to other inflammatory indices to predict CRAO.
To evaluate complete blood count (CBC)-derived inflammatory indices in central retinal artery occlusion (CRAO).PURPOSETo evaluate complete blood count (CBC)-derived inflammatory indices in central retinal artery occlusion (CRAO).A total of 42 patients with CRAO (CRAO group) and 42 age- and sex-matched subjects without CRAO (Control group) were included. CBC parameters including red cell distribution width (RDW) levels were assayed. Platelet/lymphocyte ratio (PLR), systemic immune-inflammation index (SII) and neutrophil/ lymphocyte ratio (NLR) were calculated.METHODSA total of 42 patients with CRAO (CRAO group) and 42 age- and sex-matched subjects without CRAO (Control group) were included. CBC parameters including red cell distribution width (RDW) levels were assayed. Platelet/lymphocyte ratio (PLR), systemic immune-inflammation index (SII) and neutrophil/ lymphocyte ratio (NLR) were calculated.RDW, PLR, SII and NLR values were significantly higher in CRAO group than control group [15.2 ± 1.47% vs 13.96 ± 1.13% (p < .001), 127.94 ± 48.21 vs 101.16 ± 24.84 (p = .008), 667.11 ± 357.84 vs 493.44 ± 207.07 (p = .008), 2.70 ± 1.27 vs 2.13 ± 0.83 (p = .018), respectively]. In multivariate analysis only RDW was independent predictor for CRAO (OR 2.317, p < .001). On ROC analysis, area under curve of RDW, PLR, SII, and NLR for CRAO were 0.761, 0.685, 0.622 and 0.618, respectively.RESULTSRDW, PLR, SII and NLR values were significantly higher in CRAO group than control group [15.2 ± 1.47% vs 13.96 ± 1.13% (p < .001), 127.94 ± 48.21 vs 101.16 ± 24.84 (p = .008), 667.11 ± 357.84 vs 493.44 ± 207.07 (p = .008), 2.70 ± 1.27 vs 2.13 ± 0.83 (p = .018), respectively]. In multivariate analysis only RDW was independent predictor for CRAO (OR 2.317, p < .001). On ROC analysis, area under curve of RDW, PLR, SII, and NLR for CRAO were 0.761, 0.685, 0.622 and 0.618, respectively.RDW seems superior to other inflammatory indices to predict CRAO.CONCLUSIONRDW seems superior to other inflammatory indices to predict CRAO.
Author Elbeyli, Ahmet
Dogan, Emine
Ozcan, Deniz Ozarslan
Kurtul, Bengi Ece
Ozcan, Sait Coskun
Author_xml – sequence: 1
  givenname: Ahmet
  surname: Elbeyli
  fullname: Elbeyli, Ahmet
  email: ahmetelbeyli@yahoo.com
  organization: Mustafa Kemal University
– sequence: 2
  givenname: Bengi Ece
  surname: Kurtul
  fullname: Kurtul, Bengi Ece
  organization: Mustafa Kemal University
– sequence: 3
  givenname: Deniz Ozarslan
  surname: Ozcan
  fullname: Ozcan, Deniz Ozarslan
  organization: Mustafa Kemal University
– sequence: 4
  givenname: Sait Coskun
  surname: Ozcan
  fullname: Ozcan, Sait Coskun
  organization: Mustafa Kemal University
– sequence: 5
  givenname: Emine
  surname: Dogan
  fullname: Dogan, Emine
  organization: Sakarya Training and Research Hospital
BackLink https://www.ncbi.nlm.nih.gov/pubmed/34524949$$D View this record in MEDLINE/PubMed
BookMark eNqFkUtvEzEUhS1URNPCTwB5ySKT2h7PZEZsiMIrUkWr8lqObM8dxciP1PaozN_jl-E0KQuQYHV1pe8cHZ1zhk6cd4DQc0oWlDTkgrRsWba8WTDC6IK2y5rR9hGa0SXnRUWWzQma7ZliD52isxi_E0J429In6LTkFeMtb2fo5ypGiNGCS9gP-AZ6vAZj8BsdU9ByTNo7_E33aTvH10YkMJAuzGR3W6-mBPhGZGKOP00xgdUKb6wdHRTaDUZYK-7lG9fDjzkWrscfYUzB77ba_GWCvwozQsTa4ev850AR3-m0zXlcCsLkbEm7fFchQZjwlVJmjNn_KXo8CBPh2fGeoy_v3n5efygur95v1qvLQpV1nYqq7wlQKohopFRMyYoownvJ1dBK1jYlpbIhA1claZqBSUYoKCGreoBSKkXLc_Ty4LsL_jYnTZ3VUeWyhAM_xo5Vy5JzUtVlRl8c0VFa6Ltd0FaEqXvoPQPVAVDBxxhg-I1Q0u337R727fb7dsd9s-7VHzql033LuSJt_qt-fVDneXyw4s4H03dJTMaHIQindOzKf1v8AhpYwyQ
CitedBy_id crossref_primary_10_1080_09273948_2023_2173245
crossref_primary_10_1038_s41598_024_62588_w
crossref_primary_10_1186_s12944_024_02176_z
crossref_primary_10_7717_peerj_18129
crossref_primary_10_1186_s12876_024_03416_3
crossref_primary_10_3390_medicina61020216
crossref_primary_10_3390_medicina61010125
crossref_primary_10_1016_j_thromres_2023_11_004
crossref_primary_10_1007_s00417_024_06594_8
crossref_primary_10_1371_journal_pone_0263587
crossref_primary_10_1007_s12035_024_04093_9
Cites_doi 10.1016/j.ajo.2011.05.005
10.1038/eye.2009.142
10.1080/09273940590950990
10.1161/01.ATV.0000095974.95122.EC
10.3109/08820538.2013.821507
10.1182/asheducation-2011.1.51
10.1159/000504450
10.1038/eye.2013.25
10.1016/j.oret.2017.09.018
10.1038/eye.2008.159
10.1080/09273948.2020.1712433
10.1056/NEJM199901143400207
10.1080/09273948.2019.1569244
10.1002/ijc.32303
10.1111/eci.13230
10.1016/j.amjcard.2014.04.045
10.1016/j.hlc.2018.04.283
10.1007/s11605-019-04187-z
10.1097/01.iae.0000238095.97104.9b
10.5301/ejo.5000570
10.1111/aos.14699
10.5935/0004-2749.20160005
10.1038/nature01322
10.1080/09273948.2020.1821899
ContentType Journal Article
Copyright 2021 Taylor & Francis Group, LLC 2021
Copyright_xml – notice: 2021 Taylor & Francis Group, LLC 2021
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
7X8
DOI 10.1080/09273948.2021.1976219
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList
MEDLINE - Academic
MEDLINE
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1744-5078
EndPage 1944
ExternalDocumentID 34524949
10_1080_09273948_2021_1976219
1976219
Genre Research Article
Journal Article
GroupedDBID ---
00X
03L
0BK
0R~
123
29N
36B
4.4
AALUX
AAMIU
AAPUL
AAQRR
AAWTL
ABBKH
ABDBF
ABEIZ
ABJNI
ABLIJ
ABLKL
ABUPF
ABXYU
ACENM
ACGEJ
ACGFS
ACIEZ
ACUHS
ADCVX
ADRBQ
ADXPE
AECIN
AENEX
AEOZL
AFKVX
AGDLA
AGFJD
AGRBW
AGYJP
AIJEM
AIRBT
AJWEG
AKBVH
ALMA_UNASSIGNED_HOLDINGS
ALQZU
ALYBC
AMDAE
BABNJ
BLEHA
BOHLJ
CCCUG
CS3
DKSSO
DU5
EAP
EBC
EBD
EBS
EMB
EMK
EMOBN
EPL
ESX
F5P
H13
HZ~
KRBQP
KSSTO
KWAYT
KYCEM
LJTGL
M4Z
O9-
P2P
RNANH
RVRKI
SV3
TBQAZ
TDBHL
TERGH
TFDNU
TFL
TFW
TUROJ
TUS
UEQFS
V1S
~1N
AAGDL
AAYXX
ABWVI
ADYSH
AFRVT
AMPGV
CITATION
53G
5VS
AALIY
AAORF
AAPXX
ABWCV
ABZEW
ACKZS
ACOPL
ADFOM
ADFZZ
AEIIZ
AFLEI
AJVHN
AWYRJ
BRMBE
CAG
CGR
COF
CUY
CVF
CYYVM
CZDIS
DRXRE
DWTOO
ECM
EIF
EJD
JENTW
M44
NPM
NUSFT
QQXMO
7X8
TASJS
ID FETCH-LOGICAL-c366t-5dd0e11a0a8bbc2cb50c04db4cf9b298311b80f4c3088f2b201ecab56fe3bcc13
ISSN 0927-3948
1744-5078
IngestDate Mon Jul 21 11:25:48 EDT 2025
Thu Apr 03 07:03:38 EDT 2025
Tue Jul 01 00:44:04 EDT 2025
Thu Apr 24 23:07:40 EDT 2025
Wed Dec 25 09:06:18 EST 2024
IsPeerReviewed true
IsScholarly true
Issue 7-8
Keywords systemic immune-inflammation index
blood cell count
platelet/lymphocyte ratio
Central retinal artery occlusion
Inflammation
neutrophil/lymphocyte ratio
red cell distribution width
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c366t-5dd0e11a0a8bbc2cb50c04db4cf9b298311b80f4c3088f2b201ecab56fe3bcc13
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
PMID 34524949
PQID 2573440563
PQPubID 23479
PageCount 5
ParticipantIDs crossref_primary_10_1080_09273948_2021_1976219
informaworld_taylorfrancis_310_1080_09273948_2021_1976219
crossref_citationtrail_10_1080_09273948_2021_1976219
proquest_miscellaneous_2573440563
pubmed_primary_34524949
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2022-11-17
PublicationDateYYYYMMDD 2022-11-17
PublicationDate_xml – month: 11
  year: 2022
  text: 2022-11-17
  day: 17
PublicationDecade 2020
PublicationPlace England
PublicationPlace_xml – name: England
PublicationTitle Ocular immunology and inflammation
PublicationTitleAlternate Ocul Immunol Inflamm
PublicationYear 2022
Publisher Taylor & Francis
Publisher_xml – name: Taylor & Francis
References e_1_3_6_30_1
e_1_3_6_31_1
Atum M (e_1_3_6_8_1) 2020; 15
e_1_3_6_11_1
e_1_3_6_10_1
Zhu D-D LX (e_1_3_6_26_1) 2019; 2019
Luo WJ (e_1_3_6_22_1) 2019; 12
Pokhrel PK (e_1_3_6_2_1) 2007; 76
e_1_3_6_15_1
e_1_3_6_14_1
e_1_3_6_13_1
e_1_3_6_12_1
e_1_3_6_19_1
e_1_3_6_18_1
e_1_3_6_17_1
e_1_3_6_16_1
e_1_3_6_20_1
Gokhan S (e_1_3_6_21_1) 2013; 17
e_1_3_6_6_1
e_1_3_6_5_1
e_1_3_6_4_1
e_1_3_6_3_1
e_1_3_6_9_1
e_1_3_6_7_1
e_1_3_6_27_1
e_1_3_6_28_1
e_1_3_6_29_1
e_1_3_6_23_1
e_1_3_6_24_1
e_1_3_6_25_1
References_xml – volume: 15
  start-page: 195
  year: 2020
  ident: e_1_3_6_8_1
  article-title: Neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio in patients with retinal artery occlusion
  publication-title: J Ophthalmic Vis Res
– ident: e_1_3_6_16_1
  doi: 10.1016/j.ajo.2011.05.005
– ident: e_1_3_6_18_1
  doi: 10.1038/eye.2009.142
– ident: e_1_3_6_31_1
  doi: 10.1080/09273940590950990
– ident: e_1_3_6_6_1
  doi: 10.1161/01.ATV.0000095974.95122.EC
– ident: e_1_3_6_3_1
  doi: 10.3109/08820538.2013.821507
– volume: 76
  start-page: 829
  year: 2007
  ident: e_1_3_6_2_1
  article-title: Ocular emergencies
  publication-title: Am Fam Physician
– ident: e_1_3_6_28_1
  doi: 10.1182/asheducation-2011.1.51
– ident: e_1_3_6_14_1
  doi: 10.1159/000504450
– ident: e_1_3_6_4_1
  doi: 10.1038/eye.2013.25
– ident: e_1_3_6_24_1
  doi: 10.1016/j.oret.2017.09.018
– ident: e_1_3_6_30_1
  doi: 10.1038/eye.2008.159
– volume: 2019
  start-page: 0
  year: 2019
  ident: e_1_3_6_26_1
  article-title: Neutrophil/lymphocyte ratio and platelet/lymphocyte ratio in branch retinal vein occlusion
  publication-title: J Ophthalmol
– ident: e_1_3_6_7_1
  doi: 10.1080/09273948.2020.1712433
– ident: e_1_3_6_29_1
  doi: 10.1016/j.oret.2017.09.018
– ident: e_1_3_6_5_1
  doi: 10.1056/NEJM199901143400207
– volume: 17
  start-page: 653
  year: 2013
  ident: e_1_3_6_21_1
  article-title: Neutrophil lymphocyte ratios in stroke subtypes and transient ischemic attack
  publication-title: Eur Rev Med Pharmacol Sci
– ident: e_1_3_6_25_1
  doi: 10.1080/09273948.2019.1569244
– ident: e_1_3_6_12_1
  doi: 10.1002/ijc.32303
– ident: e_1_3_6_11_1
  doi: 10.1111/eci.13230
– ident: e_1_3_6_19_1
  doi: 10.1016/j.amjcard.2014.04.045
– ident: e_1_3_6_20_1
  doi: 10.1016/j.hlc.2018.04.283
– ident: e_1_3_6_13_1
  doi: 10.1007/s11605-019-04187-z
– ident: e_1_3_6_17_1
  doi: 10.1097/01.iae.0000238095.97104.9b
– ident: e_1_3_6_23_1
  doi: 10.5301/ejo.5000570
– ident: e_1_3_6_9_1
  doi: 10.1111/aos.14699
– ident: e_1_3_6_10_1
  doi: 10.5935/0004-2749.20160005
– ident: e_1_3_6_27_1
  doi: 10.1038/nature01322
– volume: 12
  start-page: 312
  year: 2019
  ident: e_1_3_6_22_1
  article-title: The relationship of blood cell-associated inflammatory indices and diabetic retinopathy: a meta-analysis and systematic review
  publication-title: Int J Ophthalmol
– ident: e_1_3_6_15_1
  doi: 10.1080/09273948.2020.1821899
SSID ssj0004991
Score 2.3781037
Snippet To evaluate complete blood count (CBC)-derived inflammatory indices in central retinal artery occlusion (CRAO). A total of 42 patients with CRAO (CRAO group)...
To evaluate complete blood count (CBC)-derived inflammatory indices in central retinal artery occlusion (CRAO).PURPOSETo evaluate complete blood count...
SourceID proquest
pubmed
crossref
informaworld
SourceType Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 1940
SubjectTerms blood cell count
Blood Platelets
Central retinal artery occlusion
Erythrocyte Indices
Humans
Inflammation
Lymphocytes
neutrophil/lymphocyte ratio
Neutrophils
platelet/lymphocyte ratio
red cell distribution width
Retinal Vein Occlusion - diagnosis
systemic immune-inflammation index
Title Assessment of Red Cell Distribution Width, Platelet/lymphocyte Ratio, Systemic Immune-inflammation Index, and Neutrophil/lymphocyte Ratio Values in Patients with Central Retinal Artery Occlusion
URI https://www.tandfonline.com/doi/abs/10.1080/09273948.2021.1976219
https://www.ncbi.nlm.nih.gov/pubmed/34524949
https://www.proquest.com/docview/2573440563
Volume 30
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1bb9MwFLa2TkK8oHHvBshIvLUpSezcHjtYNUBbJejQ3qLYcbaIkE5tItH-PH4Zx7FzqVo0Li9Vmyixq_P5XOxzvoPQGw80I42EYwQsNg1qM9OIEs8yYj-IfQssRlC1ZDm_cM8u6ccr52pv_7CTtVQWbMTXO-tK_kWqcA3kKqtk_0KyzUvhAnwH-cInSBg-_0jG44ZWU3GKyM3aTKqxZdPHCpZ9rLdOMnArM3n2MMlWIMM5XxVi8FlKptoCrSidUz74ICtGhAHzA7CowkbQIrH4USd6XoiyWMxvb-Tu8darBl-jrKySvCT7f9rWz-ltZJhlUTXiGstc0pVkOc7KZQ0O7SVPdXKsnEmXI6qdUZtywsRKVXiPb763xdyfykVRqgMVkV-ng9MWwNM1j7SqzdP1YLqG0D5r10hz-0uUFqAul9_KvLs1AlG1TM_zGjDPtrqUdLc_bVCugWL5HAml_D1KDfCP_a510KdGahV4ht9R9lagmKa04wA_6U6jpLM4YUQ54Ahmao0scANrY7HJ963v7KMDGyIfu4cOxifvTyZtsW-g2kDWf6AuS5OE8buG2HC4Nuh4fx9UVc7V7BA90FERHiuIP0R7In-E7p3rvI_H6GeLdDxPMCAdS6TjLtJxhfQhrnH-toUmrqA5xDXG8Q6M4wrjQwxIwy3Ct16CFb5xmuMa31jiG2t8Y41vrPCNG3w_QZeT09m7M0N3HzE4cd3CcOLYFJYVmZHPGLc5c0xu0phRngTMDnxiWcw3E8oJGOrEZuBJCx4xx00EYZxb5Cnq5fNcPEfY48yMBLFJzIOq27vtcnCkScKdwGV-3Ee0FlHINTW_7BCThVbN4KslG0rJhlqyfTRqHrtV3DR3PRB05R8W1QJJ1NoIyR3Pvq7BEoIFkseKUS7m5TIEo08oxH0u6aNnCkXNdAh1bMl_dfQfIx-j--3ifoF6xaIULyESKNgrvTZ-AYEICbk
linkProvider EBSCOhost
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Assessment+of+Red+Cell+Distribution+Width%2C+Platelet%2Flymphocyte+Ratio%2C+Systemic+Immune-inflammation+Index%2C+and+Neutrophil%2Flymphocyte+Ratio+Values+in+Patients+with+Central+Retinal+Artery+Occlusion&rft.jtitle=Ocular+immunology+and+inflammation&rft.au=Elbeyli%2C+Ahmet&rft.au=Kurtul%2C+Bengi+Ece&rft.au=Ozcan%2C+Deniz+Ozarslan&rft.au=Ozcan%2C+Sait+Coskun&rft.date=2022-11-17&rft.pub=Taylor+%26+Francis&rft.issn=0927-3948&rft.eissn=1744-5078&rft.volume=30&rft.issue=7-8&rft.spage=1940&rft.epage=1944&rft_id=info:doi/10.1080%2F09273948.2021.1976219&rft.externalDocID=1976219
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0927-3948&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0927-3948&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0927-3948&client=summon