Evidence mapPaperPMID 40908505Full record

ArticleJournal of the American Heart Association2025

Associations Between Hematologic Parameters and All-Cause Death in Individuals With Cardio-Renal-Metabolic Multimorbidity: A National Cohort Study.

Song Wen, Shuheng Zhou, Wei Wang, Xueting Qiu, Yingqing Feng

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Association Between Naples Prognostic Score and All-Cause Mortality in Individuals with Cardio-Renal-Metabolic Multimorbidity: A Cohort Study.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Article
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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.

Song WenDepartment of Cardiology Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University Guangzhou Guangdong China.
Shuheng ZhouDepartment of Cardiac Surgery Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University Guangzhou Guangdong China.ORCID 0009-0000-6555-8353
Wei WangDepartment of General Surgery the Fifth Medical Center, Chinese PLA General Hospital Beijing China.ORCID 0000-0002-3741-8422
Xueting QiuDepartment of Cardiology Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University Guangzhou Guangdong China.ORCID 0009-0003-1935-7237
Yingqing FengDepartment of Cardiology Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University Guangzhou Guangdong China.ORCID 0009-0005-5349-1581

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardio-renal-metabolic multimorbidity is common and a major cause of death. This study investigates the associations between hematologic parameters and all-cause death, aiming to redefine complete blood count reference intervals for individuals with cardio-renal-metabolic multimorbidity.

methodsThe study cohort consisted of 4482 adults drawn from the National Health and Nutrition Examination Survey conducted between 1999 and 2018. To assess the associations of hemoglobin concentration, platelet count, white blood cell count, and systemic inflammatory response index with the risk of all-cause death, multivariable Cox regression and restricted cubic spline regression analyses were used. Subgroup and sensitivity analyses were performed to ensure the robustness of the findings.

resultsOver a median follow-up of 71 (36-121) months, 2025 deaths (42%) occurred. After adjusting for potential confounding variables, participants with hemoglobin of ≥13.7 g/dL, platelet count of 228-356×10

conclusionsAlterations in hematologic parameters are significantly correlated with all-cause death in patients with cardio-renal-metabolic multimorbidity. Keeping these parameters within optimal ranges greatly reduces the mortality rate, highlighting the importance for clinicians managing patients with cardio-renal-metabolic multimorbidity to closely monitor hematologic changes and implement appropriate interventions.

Indexed as

Cardiovascular DiseasesHemoglobinsAdultAgedCause of DeathFemaleHumansLeukocyte CountMaleMiddle AgedMultimorbidityNutrition SurveysPlatelet CountRisk AssessmentRisk FactorsUnited StatesHemoglobinsall‐cause deathcardio‐renal–metabolic multimorbidityhematological parameterprevalence

Identifiers

PMID40908505
PMCPMC12554417

What Socratic holds

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Registered trials

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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.