Evidence map›Paper›PMID 42056952›Full record

Trial reportBMC neurology2026

Association between neutrophil percentage-to-albumin ratio and vascular cognitive impairment in patients with cerebrovascular disease: a cross-sectional study.

Jinlan He, Hao Song, Junjian Zhang

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04999813 (Study on Early Brain Injury Mechanism and Comprehensive Intervention of Vascular Cognitive Impairment), which is not on this map. Not yet cited in PubMed.

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

NCT04999813 naunknown statusnot on this map

Study on Early Brain Injury Mechanism and Comprehensive Intervention of Vascular Cognitive Impairment

TypeinterventionalSponsorZhongnan HospitalRan2020 to 2023Enrolled600ConditionsVascular Cognitive ImpairmentArmsComprehensive intensive intervention
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Jinlan HeDepartment of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Hao SongDepartment of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Junjian ZhangDepartment of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, China. zhangjj@whu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVascular cognitive impairment (VCI) is a common cognitive disorder in patients with cerebrovascular disease. The neutrophil percentage-to-albumin ratio (NPAR), a composite marker reflecting inflammatory and nutrition-related status, has attracted increasing attention, but its association with VCI remains unclear.

methodsThis cross-sectional study included 227 patients with ischemic cerebrovascular disease, including 130 patients with VCI and 97 cognitively normal controls. Logistic regression analyses were performed to examine the association between NPAR and VCI. Quartile-based, standardized, sensitivity, restricted cubic spline, and discrimination analyses were further conducted.

resultsNPAR levels were higher in the VCI group than in controls. In the fully adjusted model, higher NPAR was associated with the presence of VCI (OR = 4.25, 95% CI: 1.45 ~ 12.45, P = 0.008). Quartile-based and per-1-standard-deviation analyses showed generally consistent findings. Restricted cubic spline analysis suggested an approximately linear association within the observed range. NPAR alone showed moderate discrimination for VCI, whereas its incremental value beyond conventional clinical variables was limited.

conclusionsIn this cross-sectional study of patients with ischemic cerebrovascular disease, higher NPAR was associated with the presence of VCI. NPAR may provide supplementary information for the evaluation of VCI status; however, these findings should be interpreted cautiously and require confirmation in larger prospective studies.

trial registrationClinicalTrials.gov, NCT04999813. Registered 10 August 2021.

Indexed as

Cerebrovascular DisordersCognitive DysfunctionNeutrophilsAgedBiomarkersCross-Sectional StudiesFemaleHumansMaleMiddle AgedBiomarkersCognitive functionCross-sectional studyIschemic cerebrovascular diseaseNeutrophil percentage-to-albumin ratioVascular cognitive impairment

Identifiers

PMID42056952
PMCPMC13267204

What Socratic holds

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Registered trials

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.