ArticleReviews in cardiovascular medicine2026
Employment of the Albumin to Alkaline Phosphatase Ratio to Predict All-cause Mortality and Cardiovascular and Cerebrovascular Mortality in Adults Aged At Least 60 Years: An Analysis From NHANES 2003-2018.
Article in Reviews in cardiovascular medicine, 2026. 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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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.
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Authors and funding
7 authors.
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Abstract
Background: The relationship between the albumin-to-alkaline phosphatase ratio (AAPR) and all-cause and cardiovascular and cerebrovascular mortalities, in adults aged 60 years and above, remains unclear. Thus, this study aimed to investigate the relationship between the AAPR and all-cause mortality, as well as cardiovascular and cerebrovascular prognosis, in adults aged at least 60 years. Methods: A total of 13,603 eligible participants were included. Kaplan-Meier curves and log-rank tests were utilized to compare variations in all-cause, cardiovascular, and cerebrovascular mortalities across the AAPR quartiles. Multivariate Cox proportional hazards models and restricted cubic splines (RCS) were applied to examine the associations among the AAPR and all-cause, cardiovascular, and cerebrovascular mortalities. Results: Cumulative all-cause mortality and cardiovascular and cerebrovascular mortality in the highest AAPR quartile were remarkably lower than in the lowest quartile. A higher AAPR was related to a diminished risk of all-cause mortality [hazard ratio (HR) = 0.64, 95% confidence interval (CI): 0.57-0.71] and cardiovascular and cerebrovascular mortality (HR = 0.73, 95% CI: 0.60-0.90). The AAPR showed a negative linear association with cardiovascular and cerebrovascular mortality ( Conclusions: The AAPR is important in predicting the risks associated with all-cause mortality and cardiovascular and cerebrovascular mortality, providing meaningful insights into mortality risk among the older adult population.
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