Evidence map›Paper›PMID 41398794›Full record

Observational studyMedicine2025

Association between neutrophil to high-density lipoprotein cholesterol ratio and 28-day mortality in sepsis patients: Analysis from the MIMIC-IV database.

Li-Hua Hang, Jing Zhou, Zilian Luo, Li Zhang

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Li-Hua HangDepartment of Anesthesiology, Kunshan First People's Hospital Affiliated to Jiangsu University, Kunshan, Jiangsu, China.ORCID 0000-0002-5643-7995
Jing ZhouDepartment of Anesthesiology, Kunshan First People's Hospital Affiliated to Jiangsu University, Kunshan, Jiangsu, China.
Zilian LuoDepartment of Anesthesiology, Kunshan First People's Hospital Affiliated to Jiangsu University, Kunshan, Jiangsu, China.
Li ZhangDepartment of Anesthesiology, Kunshan First People's Hospital Affiliated to Jiangsu University, Kunshan, Jiangsu, China.ORCID 0000-0002-6738-8930

Funding

Kunshan High level Medical Talents Project Ksgccrc2004Medical Health Science and Technology Project of Kunshan First People's Hospital CXTD21-C05,KSKFQYLWS2023005,KRY-YN007Suzhou Applied Basic Research(medical and health) of Science and Technology Innovation Project SYWD2024021the Medical Scientific Research Project of JiangsuProvincial Health Commission M2021072
6 · The paper itself

Abstract

The neutrophil count-to-high-density lipoprotein cholesterol ratio (NHR), a composite biomarker of lipid metabolism and inflammation, has been regarded as an indicator for predicting clinical outcomes in patients suffering from acute cardiovascular and cerebrovascular disorders. However, the association between the NHR and 28-day all-cause mortality in the sepsis population remains unclear. Our study population comprised 1018 sepsis patients in the Medical Information Mart for Intensive Care IV (MIMIC-IV V2.2) database who were grouped into tertiles based on their NHRs. In this study, curve fitting and 2-piecewise regression models were utilized to analyze the dose-response relationship between the Log NHR and 28-day mortality. The mean age of the participants in the study cohort was 65.0 ± 15.7 years, and 56.3% were men. The 28-day mortality rates for the NHR tertiles were 15% (51), 13.3% (45), and 18.2% (62). By investigating the Log NHR and 28-day mortality, we observed a clear U-shaped relationship. Threshold saturation analysis revealed that when Log NHR below 1.87 (NHR 6.50), with each 1-unit increase in the Log NHR, the risk of 28-day mortality significantly decreased (HR = 0.61, 95% confidence interval: 0.37, 1.01, P = .0526). Conversely, the logNHR for 28-day mortality increased beyond 1.87 (HR = 1.72, 95% confidence interval: 1.18, 2.51; P = .0045). Stratified by age, our analysis revealed nuanced variations in the Log NHR and 28-day mortality association across different age groups. This study revealed a robust U-shaped relationship between the Log NHR and 28-day all-cause mortality in the sepsis population, with a critical threshold of Log NHR = 1.87 (NHR 6.50). This risk is influenced by age.

Indexed as

Cholesterol, HDLNeutrophilsSepsisAgedBiomarkersDatabases, FactualFemaleHumansLeukocyte CountMaleMiddle AgedBiomarkersCholesterol, HDLhigh-density lipoprotein cholesterolmortalityneutrophil countsneutrophil-to-high-density lipoprotein cholesterol ratiosepsis

Identifiers

PMID41398794
PMCPMC12708204

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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.