Systemic Immune-Inflammation Index Calculator

Calculates the systemic immune-inflammation index from platelets, neutrophils and lymphocytes. Includes formula, interpretation, limitations and references.

Sponsored
Advertising placement
Systemic Immune-Inflammation Index
Clinical Decision Tool

Calculates the systemic immune-inflammation index from platelets, neutrophils and lymphocytes.

Log in to save Save this calculator to your MediCalc account.

Log in to save incomplete calculator progress and return later.

Clinical Decision Support Only

MediCalc calculators are intended to support qualified healthcare professionals and must not replace professional clinical judgement. Do not enter patient-identifiable information into Saved Progress.

Read our Clinical Disclaimer
MedicalC Knowledge Hub

Systemic Immune-Inflammation Index: Clinical Guide

Browse Knowledge Hub

Calculates the systemic immune-inflammation index from platelets, neutrophils and lymphocytes. This guide explains the formula, use and limitations.

Overview

Calculates the systemic immune-inflammation index from platelets, neutrophils and lymphocytes.

Clinical Significance

SII is a research-derived inflammatory marker with disease-specific thresholds and limited standalone clinical utility.

When to Use

  • Use when the calculation is relevant to the clinical question.
  • Confirm that the population and units match the validated method.
  • Use current and reliable measurements.

How It Is Calculated

  • SII = platelets × neutrophils ÷ lymphocytes.

Interpretation

  • SII is a research-derived inflammatory marker with disease-specific thresholds and limited standalone clinical utility.
  • Interpret alongside the full clinical picture and current guidance.

Worked Example

Enter the required measurements in the stated units. MedicalC then applies: SII = platelets × neutrophils ÷ lymphocytes.

Patient Considerations

  • Consider age, body size, pregnancy, organ function and treatment effects where relevant.
  • Repeat the calculation when inputs or clinical status materially change.

Limitations

  • Accuracy depends on the quality and units of the entered data.
  • The equation may not be validated in every patient population.
  • This tool does not replace clinical judgement or specialist advice.

Clinical Pearls

  • Check units before calculating.
  • Document the source and timing of each input.
  • Use trends where clinically appropriate.

Common Mistakes

  • Mixing SI and conventional units.
  • Using non-contemporaneous measurements.
  • Treating the output as a diagnosis or prescription.

Evidence Base

The implemented calculation follows the published or guideline-based relationship: SII = platelets × neutrophils ÷ lymphocytes.

Frequently Asked Questions

What does the Systemic Immune-Inflammation Index calculator do?

Calculates the systemic immune-inflammation index from platelets, neutrophils and lymphocytes.

Can the result be used alone?

No. Use it as decision support with clinical assessment and current guidance.

Why might the result be misleading?

Incorrect units, poor measurement quality or use outside the validated population can produce misleading results.

Should it be recalculated?

Recalculate when relevant measurements or the clinical condition change.

References

  1. Hu B, et al. Systemic immune-inflammation index predicts prognosis. Clin Cancer Res. 2014. — Primary publication, guideline or established source supporting the calculation.

Reviewed by: MedicalC Clinical Editorial Team
Last reviewed: July 2026

Return to calculator

Reviewed by: MedicalC Clinical Editorial Team Last reviewed: July 2026

Clinical Disclaimer

MedicalC calculators and clinical tools are intended to support healthcare professionals. They do not replace clinical judgement, individual patient assessment, local guidance or specialist advice.

Results should always be interpreted in the context of the patient’s history, examination, investigations, current clinical condition and applicable professional guidance.

Reviewed by: MedicalC Clinical Editorial Team Last reviewed: July 2026
Sponsored
Advertising placement