Evidence map›Paper›PMID 41377920›Full record

ArticleFrontiers in cardiovascular medicine2025

Association between the age-to-serum albumin ratio and all-cause mortality in patients with acute myocardial infarction: a retrospective cohort study.

Xue-Cheng Song, Yong Xia, Qiang Feng, Yong-Ming He

Abstract read
In one paragraph

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Xue-Cheng Song *Division of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Yong Xia *Division of Cardiology, People's Hospital of Suzhou Taihu Lake National Tourism Resort, Suzhou, Jiangsu, China.
Qiang FengDivision of Cardiology, Handan Central Hospital, Handan, Hebei, China.
Yong-Ming HeDivision of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute myocardial infarction (AMI) remains a predominant cause of cardiovascular death, necessitating accurate risk stratification. Existing risk scores like the ACEF (Age, Creatinine, Ejection Fraction) score and GRACE (Global Registry of Acute Coronary Events) score have limitations in complexity and subjectivity. This study aimed to investigate the novel age-to-serum albumin ratio (A2A Index) as a simple, objective predictive marker for all-cause mortality in AMI patients. Methods: The A2A Index was retrospectively calculated by dividing age by serum albumin in 1,007 consecutively enrolled AMI patients with 4-year median follow-up. The association between the A2A Index and all-cause mortality was assessed using Kaplan-Meier survival analysis, Cox regression analysis, and restricted cubic spline. The predictive performance of the A2A Index was compared with the ACEF and GRACE scores. Results: The A2A Index was capable of independently predicting all-cause mortality after multivariable adjustment [hazard ratio (HR) 4.98 per one-unit increase in A2A Index; 95% CI: 3.34-7.43; Conclusion: The A2A Index is a simple and independent predictor of all-cause mortality in AMI patients, superior to GRACE score and comparable to ACEF score, with >1.86 indicating high mortality risk.

Indexed as

A2A indexacute myocardial infarctionage-to-serum albumin ratioall-cause mortalityrisk stratification

Identifiers

PMID41377920
PMCPMC12685903

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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.