Evidence map›Paper›PMID 40503075›Full record

Observational studyClinical interventions in aging2025

Effects of HALP Score, C-Reactive Protein/Albumin Ratio, and Platelet/Lymphocyte Ratio on Predicting Mortality in Geriatric Patients in the Respiratory Intensive Care Unit.

Kamuran Uluç, Esra Akkütük Öngel, Şükran Merve Çolakoğlu, Nazan Köylü İlkaya, Özkan Devran, Ahmet Oğuzhan Küçük, Hatice Kutbay Özçelik

Abstract readObservational Study
In one paragraph

Observational study in Clinical interventions in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
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  4. Article
  5. Article
  6. Review
  7. Article
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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.

Kamuran UluçDepartment of Critical Care Medicine, University of Health Sciences Turkey, Istanbul Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey.ORCID 0000-0001-6128-0462
Esra Akkütük ÖngelDepartment of Critical Care Medicine, University of Health Sciences Turkey, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.ORCID 0000-0003-0129-6336
Şükran Merve ÇolakoğluDepartment of Critical Care Medicine, University of Health Sciences Turkey, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.ORCID 0000-0003-3739-4595
Nazan Köylü İlkayaDepartment of Critical Care Medicine, University of Health Sciences Turkey, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.ORCID 0000-0002-4891-0818
Özkan DevranDepartment of Critical Care Medicine, University of Health Sciences Turkey, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.ORCID 0000-0002-1498-8609
Ahmet Oğuzhan KüçükDepartment of Pulmonary Medicine, Division of Intensive Care Medicine, School of Medicine, Karadeniz Technical University, Trabzon, Turkey.ORCID 0000-0002-6993-0519
Hatice Kutbay ÖzçelikDepartment of Critical Care Medicine, University of Health Sciences Turkey, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.ORCID 0000-0001-5048-7118

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: This study aims to evaluate the effects of the hemoglobin, albumin, lymphocyte, and platelet (HALP) score, C-reactive protein/albumin ratio (CAR), and platelet/lymphocyte ratio (PLR) on predicting mortality in geriatric patients admitted to the respiratory intensive care unit (ICU). Materials and Methods: In this retrospective observational cohort study, data of patients followed up in the respiratory ICU between 01.07.2021 and 31.12.2023 were evaluated. Age, gender, HALP score, hemoglobin, albumin, lymphocyte, platelet, and C-reactive protein (CRP) levels, along with PLR, CAR, and patient prognosis (exitus/discharge), were recorded from patient files and the hospital data processing system. Results: The study included 405 patients (140 women and 265 men) over 65 years of age. In multivariate analysis, higher PLR and CAR values were associated with a higher mortality rate, whereas patients with a higher HALP score had a lower mortality rate (p<0.001). In the ROC analysis, a statistically significant cut-off value was found for the HALP score in predicting mortality (p<0.001). HALP score ≤ 9.94 indicates mortality, with a sensitivity of 67.25%, specificity of 53%, PPV (positive predictive value) of 64.98%, and NPV (negative predictive value) of 55%. CAR value ≥ 30.13 indicates mortality, with a sensitivity of 69.87%, specificity of 61.36%, PPV of 70.18% and NPV of 61.02%. There was no statistically significant cut-off value for PLR in predicting mortality (p=0.076). Conclusion: We found that the HALP score, PLR value, and CAR value are important scores that may be useful in determining mortality and treatment modality in geriatric patients treated in the ICU.

Indexed as

C-Reactive ProteinHospital MortalityIntensive Care UnitsSerum AlbuminAgedAged, 80 and overBlood PlateletsFemaleGeriatric AssessmentHemoglobinsHumansLymphocyte CountLymphocytesMalePlatelet CountPredictive Value of TestsC-Reactive ProteinHemoglobinsSerum AlbuminCRP/albumin ratiogeriatric patientsHALP scoreintensive care unitsplatelet/lymphocyte ratio

Identifiers

PMID40503075
PMCPMC12153965

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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.