Evidence map›Paper›PMID 41079585›Full record

ArticleFrontiers in cardiovascular medicine2025

Relationship between red cell distribution width-to-albumin ratio and major adverse cardiovascular events among individuals with acute myocardial infarction.

Cai Chen, Xiaoguo Hua, Rui Hu, Jun Wan, Ya You, Min Yang

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Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Cai Chen *Department of Emergency, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Xiaoguo Hua *Office of Medical Insurance Management, The Second Affiliated Hospital, Anhui Medical University, Hefei, China.
Rui Hu *Department of Clinical Teaching Management, The First Affiliated Hospital, Anhui University of Traditional Chinese Medicine, Hefei, China.
Jun WanDepartment of Emergency, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Ya YouDepartment of Cardiology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
Min YangThe Second Department of Intensive Care Unit, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Red cell distribution width (RDW) and albumin have been individually linked to adverse cardiovascular outcomes, but the prognostic value of their composite index, the red cell distribution width-to-albumin ratio (RAR), in AMI patients remains under-explored. Methods: A retrospective cohort study was conducted on 917 AMI patients. The main outcome was in-hospital MACEs, including 28-day death, non-fatal stroke, recurrent myocardial infarction, unplanned revascularization, and hospitalization for heart failure or angina. Multi-variable logistic regression analysis was used to calculate their odd ratio (OR) and corresponding confidence interval (95%CI) with adjustments that assessed the relationship RAR index (categorical or continuous variable) of with MACEs among individuals with AMI. Restricted cubic spline (RCS) models were used to assess the dose-response relationship between RAR index and the incidence of MACEs. In addition, receiver operating characteristic curve (ROC) analysis was fitted to assess the accuracy of RAR index in predicting MACEs. Results: The cohort had a mean age of 58.7 ± 9.6 years, with 56% males. Higher RAR quartiles were associated with older age, higher MACEs incidence, and lower BMI, cholesterol, eGFR, and blood pressure (all Conclusion: The predictive value of RAR surpasses that of RDW or albumin alone and varies by sex and AMI subtype. RAR holds promise as a simple, cost-effective biomarker for risk stratification in AMI patients, warranting further validation in prospective studies.

Indexed as

acute myocardial infarctionbiomarkercomposite indexmajor adverse cardiovascular eventsred cell distribution width-to-albumin ratio

Identifiers

PMID41079585
PMCPMC12507734

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