Evidence mapPaperPMID 41315968Full record

ArticleBMC cardiovascular disorders2025

Prognostic worth of admission blood glucose to albumin ratio: evaluation in patients following percutaneous coronary intervention with and without type 2 diabetes mellitus.

Qi Zhao, Wu-Qiang Che, Zhao-Xue Sheng, Fang Wang, Shuo-Yan An, Zhen Zhang, Yan-Xiang Gao, Tuo Liang, Jin-Gang Zheng

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Article in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

9 authors.

Qi ZhaoDepartment of Cardiology, China-Japan Friendship Hospital, Beijing, 100029, China.
Wu-Qiang CheDepartment of Cardiology, China-Japan Friendship Hospital, Beijing, 100029, China.
Zhao-Xue ShengDepartment of Cardiology, China-Japan Friendship Hospital, Beijing, 100029, China.
Fang WangDepartment of Cardiology, China-Japan Friendship Hospital, Beijing, 100029, China.
Shuo-Yan AnDepartment of Cardiology, China-Japan Friendship Hospital, Beijing, 100029, China.
Zhen ZhangDepartment of Cardiology, China-Japan Friendship Hospital, Beijing, 100029, China.
Yan-Xiang GaoDepartment of Cardiology, China-Japan Friendship Hospital, Beijing, 100029, China.
Tuo LiangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China. lightuo@126.com.
Jin-Gang ZhengDepartment of Cardiology, China-Japan Friendship Hospital, Beijing, 100029, China. mdjingangzheng@yeah.net.

Funding

Capital's Founds for Health Improvement and Research 2022-1-4062Chinese Society of Cardiology's Foundation CSCF2021B02National Key Clinical Specialty Construction Project 2020-QTL-009
6 · The paper itself

Abstract

backgroundRecently, a novel parameter named admission blood glucose to albumin ratio (AAR) has been proposed and proved to be significantly associated with adverse prognosis of acute myocardial infarction. The prognostic utility of AAR for risk stratification in percutaneous coronary intervention (PCI) treated non-ST-segment elevation acute coronary syndrome (NSTE-ACS) patients has not been well established.

methodsThe present study recruited patients admitted for NSTE-ACS who successfully received PCI. The calculation of AAR involved the division of admission blood glucose by serum albumin concentration. The first occurrence of major adverse cardiovascular and cerebrovascular events (MACCE) was defined as the primary endpoint. The predictive impact of AAR for MACCE was conducted in subgroups according to whether type 2 diabetes mellitus (T2DM) was combined or not.

resultsA total of 2107 patients (mean age 60.0 ± 9.0 years; 28.0% female) were included in this analysis. The study documented 293 MACCEs (13.9%), distributed as 128 events in the T2DM subgroup and 165 events in the non-T2DM subgroup. AAR exhibited to be a significant risk predictor for MACCE despite following comprehensive adjustment for confounding factors, either analyzed as a nominal or continuous variable (all P < 0.05). AAR demonstrated superior discriminatory ability for MACCE, achieving the highest area under the receiver operating characteristic curve (AUC = 0.667) compared to its individual components. The addition of AAR to a baseline model yielded the greatest enhancement in MACCE risk stratification compared to its constituent measures, as confirmed by a marked improvement in the Harrell's C-index (from 0.641 to 0.683, P < 0.001), along with significant gains in both continuous net reclassification improvement (0.187, P < 0.001) and integrated discrimination improvement (0.027, P < 0.001). Subgroup analyses revealed that the predictive and stratified value of AAR for MACCE was more significant in patients without T2DM.

conclusionAAR serves as a significant independent predictor for risk stratification in PCI-treated NSTE-ACS patients. The predictive and stratified value of AAR for MACCE seems to be more significant in patients without T2DM.

Indexed as

Acute Coronary SyndromeBlood GlucoseDiabetes Mellitus, Type 2Non-ST Elevated Myocardial InfarctionPatient AdmissionPercutaneous Coronary InterventionSerum Albumin, HumanAgedBiomarkersFemaleHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesRisk AssessmentALB protein, humanBiomarkersBlood GlucoseSerum Albumin, HumanAdmission blood glucose to albumin ratioMajor adverse cardiovascular and cerebrovascular eventsNon-ST-segment elevation acute coronary syndromePercutaneous coronary intervention

Identifiers

PMID41315968
PMCPMC12751486

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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.