Evidence map›Paper›PMID 40591619›Full record

Observational studyPloS one2025

Prognostic value of the lactate-albumin ratio in trauma: A comparison with shock index and injury severity score.

Jonghan Park, Wook Tae Yang, Seok-Ran Yeom, Sung-Wook Park, Young Mo Cho, Won Ung Tae, Hyuk Jin Choi, Mahnjeong Ha, Seunghan Yu, Up Huh and 3 more

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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

13 authors.

Jonghan ParkDepartment of Emergency Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
Wook Tae YangDepartment of Emergency Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
Seok-Ran YeomDepartment of Emergency Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
Sung-Wook ParkDepartment of Emergency Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.ORCID https://orcid.org/0000-0001-6699-8553
Young Mo ChoDepartment of Emergency Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.ORCID https://orcid.org/0000-0002-1840-3305
Won Ung TaeDepartment of Emergency Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
Hyuk Jin ChoiDepartment of Neurosurgery, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
Mahnjeong HaDepartment of Neurosurgery, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
Seunghan YuDepartment of Neurosurgery, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.ORCID https://orcid.org/0000-0003-0086-3204
Up HuhDepartment of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.ORCID https://orcid.org/0000-0002-7739-3979
Dongman RyuMedical Research Institute, Pusan National University, Busan, Republic of Korea.
Chanhee SongMedical Research Institute, Pusan National University, Busan, Republic of Korea.ORCID https://orcid.org/0000-0002-3826-3813
Il Jae WangDepartment of Emergency Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.ORCID https://orcid.org/0000-0003-2479-2359

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to assess the predictive value of lactate-to-albumin ratio (LAR) for in-hospital mortality and massive transfusion (MT) in severe trauma cases. This retrospective, observational, single-center study included patients who presented to a trauma center between 2016 and 2022. The primary outcome was in-hospital mortality, and the secondary outcome was MT. Logistic regression analysis was performed to determine whether LAR was an independent risk factor. The area under the receiver operating characteristic (AUROC) curve was calculated to evaluate the predictive value of LAR. In total, 5,304 patients were included. Logistic regression analysis identified LAR as an independent risk factor for in-hospital mortality. The AUROCs for predicting in-hospital mortality using LAR, Injury Severity Score (ISS), and Shock Index (SI) were 0.74 (95% confidence interval [CI], 0.73-0.75), 0.78 (95% CI, 0.77-0.779), and 0.51 (95% CI, 0.49-0.52), respectively. LAR was statistically significant compared with SI (p < 0.0001; 95% CI, 0.194-0.276) and similar to ISS (p = 0.0039; 95% CI, 0.0115-0.0604). LAR (0.84; 95% CI, 0.83-0.85) demonstrated superior predictive power for MT compared with SI (0.68; 95% CI, 0.67-0.70) and ISS (0.79; 95% CI, 0.78-0.80). LAR demonstrates a superior predictive ability for in-hospital mortality and MT.

Indexed as

Lactic AcidSerum AlbuminShockWounds and InjuriesAdultAgedFemaleHospital MortalityHumansInjury Severity ScoreMaleMiddle AgedPrognosisRetrospective StudiesROC CurveLactic AcidSerum Albumin

Identifiers

PMID40591619
PMCPMC12212560

What OpenQuestion holds

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Registered trials

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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.