Evidence mapPaperPMID 41187739Full record

ArticleRenal failure2025

The association between endothelial activation and stress Index and the development and prognosis of acute kidney injury in elderly patients with critical illness.

Zhiyuan Zhang, Yubo Li, Yang Wei, Yu Yang, Zixin Luo, Jiahui Xie, Qinglin Xu, Kang Zou, Jie Wang

Abstract read
In one paragraph

Article in Renal failure, 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. Longitudinal Endothelial Activation and Stress Index (EASIX) trajectories and mortality risk in chronic heart failure.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    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

9 authors.

Zhiyuan ZhangThe First Clinical Medical College, Gannan Medical University, Ganzhou City, Jiangxi Province, the People's Republic of China.
Yubo LiDepartment of Hepatobiliary Surgery, Affiliated Hospital of Qinghai University, Xining City, Qinghai Province, the People's Republic of China.
Yang WeiThe First Clinical Medical College, Gannan Medical University, Ganzhou City, Jiangxi Province, the People's Republic of China.
Yu YangThe First Clinical Medical College, Gannan Medical University, Ganzhou City, Jiangxi Province, the People's Republic of China.
Zixin LuoThe First Clinical Medical College, Gannan Medical University, Ganzhou City, Jiangxi Province, the People's Republic of China.
Jiahui XieDepartment of Critical Care Medicine, The Second Hospital of Xingguo County, Ganzhou City, Jiangxi Province, the People's Republic of China.
Qinglin XuDepartment of Critical Care Medicine, the First Affiliated Hospital of Gannan Medical University, Ganzhou City, Jiangxi Province, the People's Republic of China.
Kang ZouDepartment of Critical Care Medicine, the First Affiliated Hospital of Gannan Medical University, Ganzhou City, Jiangxi Province, the People's Republic of China.
Jie WangDepartment of Critical Care Medicine, the First Affiliated Hospital of Gannan Medical University, Ganzhou City, Jiangxi Province, the People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study investigated the link between the endothelial activation and stress index (EASIX) and acute kidney injury (AKI) development and prognosis in elderly critically ill patients. Using the MIMIC-IV database, we conducted a retrospective cohort study including 12,122 ICU patients aged ≥65 years, of whom 9,124 developed AKI. Patients were divided into three groups based on EASIX scores. We compared the baseline characteristics, mortality rates, and clinical outcomes across groups. Multivariable Cox regression analysis assessed the association between EASIX and AKI development and short-term outcomes, adjusting for confounders. Kaplan-Meier curves and subgroup analyses were performed. Dose-response modeling, threshold effect analysis, and E-value analysis were also conducted. Results showed that patients with the highest EASIX scores had significantly higher mortality rates, with HRs for 28-day mortality of 1.69 (95% CI: 1.47-1.95,

Indexed as

Acute Kidney InjuryCritical IllnessEndothelium, VascularAgedAged, 80 and overFemaleHospital MortalityHumansIntensive Care UnitsKaplan-Meier EstimateMalePrognosisProportional Hazards ModelsRetrospective StudiesRisk FactorsAcute kidney injuryassociationelderlyendothelial activation and stress indexMIMIC-IV

Identifiers

PMID41187739
PMCPMC12587800

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.