Evidence map›Paper›PMID 40301954›Full record

ArticleEuropean journal of medical research2025

Risk analysis of the association between EASIX and all-cause mortality in critical ill patients with atrial fibrillation: a retrospective study from MIMIC-IV database.

Yu Xia, Anfeng Liang, Mei Wang, Jianlin Zhang

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Article in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

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0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Review
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  8. Evaluating the Predictive Value of the Endothelial Activation and Stress Index in Determining the Severity and Prognosis of Acute Pulmonary Embolism.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026
    Article
  9. The role of the EASIX score in patients with hypertension: a cross-sectional study.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Article
  10. Article
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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Yu XiaDepartment of Burn and Trauma Medicine, First Naval Hospital of Southern Theater Command, Zhanjiang, China.
Anfeng LiangTrauma Center, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Mei WangDepartment of Emergency Medicine, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Jianlin ZhangDepartment of Emergency Medicine, The First Affiliated Hospital of Anhui Medical University, Hefei, China. zlin123@aliyun.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Endothelial Activation and Stress Index (EASIX) is a recognized marker of vascular endothelial health but has limited application in patients with atrial fibrillation (AF). This study aimed to explore the association between EASIX and prognosis in critically ill patients with AF.

methodsThe patient's data were extracted from Medical Information Mart for Intensive Care IV(MIMIC-IV) database. EASIX was calculated as lactate dehydrogenase (U/L) × creatinine (mg/dL)/platelets (10

resultsA total of 4896 patients with complete data were included. In-hospital, 28-day, and 365-day all-cause mortality rates were26.04%, 29.25%, and 49.75%, respectively. The median EASIX was 5.64 (4.56, 6.84). Higher EASIX was significantly associated with increased in-hospital, short-term, and long-term all-cause mortality after multivariable adjustment. Patients in quartiles Q2, Q3, and Q4 had significantly higher mortality than those in Q1, showing a clear trend. Kaplan-Meier analysis confirmed that patients with higher EASIX scores had significantly lower survival. The AUC showed that the performance of EASIX in predicting both short-term and long-term all-cause mortality was comparable to the SOFA and higher than the CHA₂DS₂-VASc score. Stratified analyses indicated that the association remained robust across subgroups, accounting for various underlying conditions and hospital interventions.

conclusionsEASIX is a reliable predictor of both short- and long-term mortality in critically ill patients with AF. Future prospective studies are necessary to confirm its broader applicability in other populations.

Indexed as

Atrial FibrillationCritical IllnessAgedDatabases, FactualFemaleHumansMaleMiddle AgedOrgan Dysfunction ScoresPrognosisRetrospective StudiesRisk AssessmentRisk FactorsAll-cause mortalityAtrial fibrillationEndothelial activation and stress index (EASIX)Endothelial dysfunctionMIMIC-IV

Identifiers

PMID40301954
PMCPMC12039053

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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 OpenQuestion graph.