Evidence map›Paper›PMID 42644686›Full record

Observational studyMediators of inflammation2026

Elevated C-Reactive Protein-Albumin-Lymphocyte Index Is Associated With Reduced Mortality in Chronic Inflammatory Airway Diseases: A Population-Based Observational Study.

Yuting Fan, Zhao Chen, Mingshan Xue, Wenqiang Li, Youli Wen, Baoqing Sun, Zhiping Deng

Abstract readObservational Study
In one paragraph

Observational study in Mediators of inflammation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

7 authors.

Yuting FanDepartment of Clinical Medicine, North Sichuan Medical College, Nanchong 637000, Sichuan, China, nsmc.edu.cn.ORCID https://orcid.org/0009-0007-6553-4926
Zhao ChenDepartment of Respiratory and Critical Care Medicine, Zigong First People's Hospital, Zigong 643000, Sichuan, China.ORCID https://orcid.org/0000-0001-7143-9764
Mingshan XueDepartment of Clinical Laboratory, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510000, Guangdong, China, gzhmc.edu.cn.ORCID https://orcid.org/0000-0002-2883-8476
Wenqiang LiDepartment of Respiratory and Critical Care Medicine, Zigong First People's Hospital, Zigong 643000, Sichuan, China.ORCID https://orcid.org/0000-0002-1542-8937
Youli WenDepartment of Respiratory and Critical Care Medicine, Zigong First People's Hospital, Zigong 643000, Sichuan, China.ORCID https://orcid.org/0009-0009-1518-2058
Baoqing SunDepartment of Clinical Laboratory, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510000, Guangdong, China, gzhmc.edu.cn.ORCID https://orcid.org/0000-0002-1671-0723
Zhiping DengDepartment of Respiratory and Critical Care Medicine, Zigong First People's Hospital, Zigong 643000, Sichuan, China.ORCID https://orcid.org/0000-0002-8669-7691

Funding

Zigong Science and Technology Program of China 2023YKY07Zigong Science and Technology Program of China 2023YLWS21
6 · The paper itself

Abstract

backgroundThe C-reactive protein-albumin-lymphocyte (CALLY) index, a novel composite marker derived from lymphocyte count, serum albumin, and C-reactive protein (CRP) levels, is commonly used to assess nutritional and inflammatory status. However, existing studies have not clarified the association between the CALLY index and prognosis in patients with chronic inflammatory airway diseases (CIADs). This study aims to elucidate the relationship between the CALLY index and the risks of all-cause and cardiovascular mortality among CIAD patients in the United States.

methodsThis investigation included 4128 patients with CIAD from the National Health and Nutrition Examination Survey (NHANES, 1999-2010). The CALLY index was measured only at baseline. We employed weighted Cox proportional hazards regression models to assess the association between the CALLY index and risks of all-cause and cardiovascular mortality across three progressively adjusted models. To evaluate potential nonlinear dose-response relationships, we applied restricted cubic spline (RCS) models. Additionally, subgroup analyses and sensitivity analyses were conducted to verify the robustness of our findings.

resultsMultivariable-adjusted Model 3 demonstrated that, compared with the lowest quartile, the highest CALLY index quartile showed a significant inverse association with both all-cause and cardiovascular mortality, with corresponding HRs of 0.36 (95% CI: 0.27-0.47) and 0.33 (95% CI: 0.21-0.51), respectively (both p  < 0.05).

conclusionsThe CALLY index showed a significant inverse association with all-cause and cardiovascular mortality among U.S. adults with CIAD, suggesting its potential value as a prognostic tool for risk stratification in this group.

Indexed as

C-Reactive ProteinInflammationLymphocytesSerum AlbuminAdultAgedCardiovascular DiseasesFemaleHumansLymphocyte CountMaleMiddle AgedNutrition SurveysProportional Hazards ModelsC-Reactive ProteinSerum AlbuminCALLY indexCIADmortalityNHANESpopulation-based study

Identifiers

PMID42644686
PMCPMC13509418

What Socratic holds

Textmetadata
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.