Association between delirium and neutrophil percentage-to-albumin ratio in patients with cervical spinal cord injury: A single-center, retrospective study.

• Expanded Discussion to address CRP findings, borderline significance of age, and systemic vs neuroinflammatory mechanisms. • Revised the Limitations section to include solutions and future perspectives. • Strengthened the rationale for NPAR as a clinically practical and accessible biomarker.

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Discussion: 8) Line 225 “was not significant in this study.” The age difference is not significant (p-value= 0.056) but very close to being significant.

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Irrespective of this, it would seem conservative to state this relationship since that relationship is likely to be significant in a larger study (only n=15 patients with delirium means very limited statistical power). 9) Limitations of the study have been listed in the last paragraph of the discussion.

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