Evidence map›Paper›PMID 40607059›Full record

ArticleFrontiers in molecular biosciences2025

The prognostic value of admission serum uric acid for acute kidney injury: a two-center retrospective analysis.

Shuo Huang, Linger Tang, Lingyi Xu, Jinwei Wang, Xizi Zheng

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In one paragraph

Article in Frontiers in molecular biosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Shuo Huang *Renal Division, Peking University First Hospital, Beijing, China.
Linger Tang *Renal Division, Peking University First Hospital, Beijing, China.
Lingyi XuRenal Division, Peking University First Hospital, Beijing, China.
Jinwei WangRenal Division, Peking University First Hospital, Beijing, China.
Xizi ZhengRenal Division, Peking University First Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute kidney injury (AKI) is a serious clinical syndrome, with elevated serum uric acid (SUA) recognized as a potential modifiable risk factor. Nonetheless, the association between reduced SUA and the risk of AKI, along with the modification by kidney function on this association, is not well understood. Methods: All adult patients from Peking University First Hospital (PKUFH) were screened. The primary outcome was AKI during hospitalization. Restricted cubic spline (RCS) was utilized to examine the hypothesized non-linearity between AKI and SUA as a continuous variable. SUA was categorized into six groups and Poisson regression was applied to evaluate the association between SUA groups and AKI with 240-360 μmol/L as reference. Subgroup analysis was conducted in terms of estimated glomerular filtration rate (eGFR). Results: Among 62,775 patients enrolled from PKUFH, 1,866 patients developed AKI (3.0%). The RCS plot showed a U-shaped association between SUA and AKI. Compared with reference group, SUA ≤ 180 μmol/L and >480 μmol/L exhibited a 2.17-fold and a 4.86-fold increased risk of AKI in the unadjusted model. After full adjustment, the associated risk of AKI in SUA ≤ 180 μmol/L (RR 1.92, 95% CI 1.57-2.36) and SUA > 480 μmol/L (RR 1.17, 95% CI 1.03-1.34) was weakened but still demonstrated statistical significance. When stratified by eGFR, the U-shaped risk curve was much less steep in the subgroup with eGFR ≤ 45 mL/min/1.73 m Conclusion: This study reveals a U-shaped association between admission SUA and AKI risk. Kidney function is an important confounder for this association.

Indexed as

acute kidney injuryestimated glomerular filtration ratehyperuricemiahypouricemiaserum uric acid

Identifiers

PMID40607059
PMCPMC12213346

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