Evidence map›Paper›PMID 40020123›Full record

Observational studyMedicine2025

The predictive value of the LDH-albumin ratio on poor clinical course and mortality in COVID-19 patients: A single-center study.

Huseyin Kaya, Serap Argun Baris, Baris Gultepe, Ilknur Basyigit, Hasim Boyaci

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Huseyin KayaDepartment of Chest Diseases, Kocaeli City Hospital, Izmit, Kocaeli, Turkey.ORCID 0000-0002-8838-9502
Serap Argun BarisDepartment of Chest Diseases, University of Kocaeli, Izmit, Kocaeli, Turkey.ORCID 0000-0002-4429-9441
Baris GultepeFord Otosan, Kocaeli, Turkey.ORCID 0000-0001-6144-6856
Ilknur BasyigitDepartment of Chest Diseases, University of Kocaeli, Izmit, Kocaeli, Turkey.ORCID 0000-0001-7706-9311
Hasim BoyaciDepartment of Chest Diseases, University of Kocaeli, Izmit, Kocaeli, Turkey.ORCID 0000-0003-2744-9898

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are studies evaluating the association of serum lactate dehydrogenase (LDH) and albumin levels with mortality in COVID-19 patients. The aim of our study was to evaluate the predictive effect of the LDH/albumin ratio (LAR) on mortality and poor clinical course in COVID-19 patients. A total of 2093 patients for whom LDH and albumin tests were available were included in the study. Demographic data, length of hospitalization, and signs of poor clinical course were recorded and compared with the LAR value at the time of hospitalization. The study included 1010 female (48.3%) and 1083 male (51.7%) patients. Notably, 1408 (67.3%) of the patients had at least 1 comorbidity. Oxygen was required in 860 patients (41.1%) and intensive care unit was required in 215 patients (10.3%). The mortality rate was 8.1% (n: 170). The median LAR value was 8.05. A positive correlation was observed between LAR and length of hospitalization. The LAR value was significantly higher in patients who died compared with those who survived, in patients who required intensive care compared with those who did not, and in patients who required oxygen compared to those who did not. The cutoff value for LAR in predicting mortality was calculated as 10.48. The sensitivity and specificity were determined as 73.5% and 73.7%. In conclusion, serum LAR at the time of admission is predictive of poor clinical course and mortality in COVID-19 patients. Patients with LAR values higher than the cutoff value should be closely monitored for poor clinical course.

Indexed as

COVID-19L-Lactate DehydrogenaseSerum AlbuminAdultAgedBiomarkersFemaleHospitalizationHumansLength of StayMaleMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesSARS-CoV-2BiomarkersL-Lactate DehydrogenaseSerum Albumin

Identifiers

PMID40020123
PMCPMC11875623

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.