Evidence map›Paper›PMID 41398565›Full record

ArticleBMC infectious diseases2025

Association between serum uric acid to albumin ratio and all-cause mortality in critically ill patients with sepsis: a retrospective study.

Jinhui Zhang, Yang Liang, Chao Song, Zhenkui Hu

Abstract read
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Article in BMC infectious diseases, 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

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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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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

4 authors.

Jinhui Zhang *Department of Critical Care Medicine, The Affiliated Hospital, Jiangsu University, No.438 Jiefang Road, Zhenjiang, Jiangsu, 212001, China. 1000012402@ujs.edu.cn.
Yang Liang *Department of Critical Care Medicine, The Affiliated Hospital, Jiangsu University, No.438 Jiefang Road, Zhenjiang, Jiangsu, 212001, China.
Chao SongDepartment of Emergency Medicine, The Affiliated Hospital, Jiangsu University, No.438 Jiefang Road, Zhenjiang, Jiangsu, 212001, China.
Zhenkui HuDepartment of Emergency Medicine, The Affiliated Hospital, Jiangsu University, No.438 Jiefang Road, Zhenjiang, Jiangsu, 212001, China. huzhenkui@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe serum uric acid to albumin ratio (UAR) is a recently recognized composite inflammatory biomarker that has not received sufficient attention in relation to sepsis. This study aimed to investigate the association between UAR and the risk of all-cause mortality in critically ill patients with sepsis.

methodsWe conducted an analysis using a retrospective database of sepsis patients who were admitted to the Affiliated Hospital of Jiangsu University between January 2015 and November 2023. The patients were divided into four groups based on UAR quartiles. The primary outcome was in-hospital all-cause mortality. The Kaplan-Meier curve and log-rank tests were used to evaluate all-cause mortality among the four groups. Cox proportional hazards regression analysis and restricted cubic splines were performed to examine the association between UAR and clinical outcomes in patients with sepsis. Subgroup analyses were conducted to evaluate the impact of other variables on the relationship between UAR and all-cause mortality.

resultsA total of 1123 patients (63.0% males) were included in this study. The in-hospital and intensive care unit (ICU) mortality rates were 33.9% and 31.7%, respectively. There was a significant association between higher UAR levels and an increased cumulative incidence of 30-/60-day mortality (log-rank test, P < 0.001). Cox proportional hazards regression analysis demonstrated that the UAR was independently associated with a higher risk of in-hospital mortality [per SD increase in the UAR: hazard ratio (HR) (95%CI): 1.186 (1.067–1.319); P = 0.002] and ICU mortality [per SD increase in the UAR: HR (95%CI): 1.190 (1.068–1.327); P = 0.002]. Restricted cubic spline regression analysis illustrated a linear relationship between UAR and the risks of in-hospital and ICU mortality.

conclusionsElevated UAR levels were strongly associated with all-cause mortality in critically ill patients with sepsis, suggesting their potential as predictors of poor outcomes. However, further studies are needed to validate our findings and investigate the underlying causal factors that could contribute to sepsis prevention and treatment.

Indexed as

Critical IllnessSepsisSerum AlbuminUric AcidAgedBiomarkersFemaleHospital MortalityHumansIntensive Care UnitsMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesBiomarkersSerum AlbuminUric AcidAlbuminAll-cause mortalitySepsisUric acidUric acid to albumin ratio

Identifiers

PMID41398565
PMCPMC12706968

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LicenceCC BY-NC-ND
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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.