Evidence map›Paper›PMID 40982452›Full record

ArticlePloS one2025

Association of albumin to globulin ratio with mortality in patients with aneurysmal subarachnoid hemorrhage.

Yangchun Xiao, Li Li, Yu Zhang, Shiping Chen, Xin Cheng, Wenqing Wang, Yixin Tian, Jialing He, Lu Jia, Chao You and 2 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Yangchun XiaoDepartment of Neurosurgery, Clinical Medical College and Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.ORCID 0000-0003-1938-1096
Li LiDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Yu ZhangDepartment of Neurosurgery, Clinical Medical College and Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.
Shiping ChenDepartment of Neurosurgery, Clinical Medical College and Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.
Xin ChengDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Wenqing WangDepartment of Neurosurgery, Clinical Medical College and Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.
Yixin TianDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jialing HeDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Lu JiaDepartment of Neurosurgery, Shanxi Provincial People's Hospital, Taiyuan, Shanxi, China.
Chao YouDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Fang FangDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Dianxiang LuDepartment of Neurosurgery, Clinical Medical College and Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe albumin to globulin ratio (AGR) has been associated with poor outcomes in various diseases, but the association with mortality in aneurysmal subarachnoid hemorrhage (aSAH) is still unclear. Our study aimed to explore the relationship between AGR and short-term case fatality in patients with aSAH.

methodsThis retrospective study included 3,421 patients with aSAH at West China Hospital, Sichuan University. All Serum AGRs were obtained within 2 days of admission, and patients were categorized into four groups based on their AGR. Cox regression analyses were conducted to assess the relations between AGR and both 30-day and 90-day mortality.

resultsIn 3,421 participants, 339 patients (9.9%) with 30-day mortality, and 407 patients (13.3%) with 90-day mortality. The patients were categorized into four quartiles based on their AGR levels: Q1 (AGR ≤ 1.33), Q2 (AGR: 1.33-1.50), Q3 (AGR: 1.50-1.70), and Q4 (AGR > 1.70). The HR after adjusted for confounders showed significant associations with 30-day mortality, Q2 group (HR 0.72, 95% CI 0.53-0.97), Q3 group (HR 0.72, 95% CI 0.54-0.96), Q4 group (0.53, 95% CI (0.39-0.72)) compared to Q1 group. The association was still significant for 90-day mortality, Q2 group (HR 0.77, 95% CI 0.59-1.01), Q3 group (HR 0.75, 95% CI 0.58-0.98), Q4 group (0.53, 95% CI (0.40-0.71) compared to Q1 group.

conclusionsA lower admission AGR was significantly associated with an increased risk for short-term case fatality and poor functional outcomes in patients with aSAH. Further prospective research is essential to confirm our findings and explore the mechanisms behind this association.

Indexed as

GlobulinsSerum AlbuminSerum GlobulinsSubarachnoid HemorrhageAdultAgedChinaFemaleHumansMaleMiddle AgedPrognosisProportional Hazards ModelsRetrospective StudiesGlobulinsSerum AlbuminSerum Globulins

Identifiers

PMID40982452
PMCPMC12453187

What Socratic holds

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LicenceCC BY
Read underepoch 390

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.