Evidence map›Paper›PMID 41731806›Full record

ArticleMedicine2026

Correlation between red cell distribution width to total calcium ratio and in-hospital mortality in patients with non-idiopathic pulmonary fibrosis interstitial lung diseases: A retrospective cohort study from the MIMIC-IV database.

Aiqing Lin, Zengxia Ma, Mingxiang Zhou, Mingxia Sun

Abstract read
In one paragraph

Article in Medicine, 2026. 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.

Aiqing LinDepartment of Respiratory and Critical Care Medicine, Public Health Clinical Center Affiliated to Shandong University, Jinan, Shandong, China.
Zengxia MaDepartment of Respiratory and Critical Care Medicine, Public Health Clinical Center Affiliated to Shandong University, Jinan, Shandong, China.
Mingxiang ZhouDepartment of Respiratory and Critical Care Medicine, Public Health Clinical Center Affiliated to Shandong University, Jinan, Shandong, China.
Mingxia SunDepartment of Tuberculosis, Public Health Clinical Center Affiliated to Shandong University, Jinan, Shandong, China.ORCID 0009-0003-7561-260

Funding

the Medical and Health Science and Technology Project of Shandong Province 202403020519
6 · The paper itself

Abstract

This study aims to investigate the potential of the red cell distribution width to total calcium ratio (RCR) as a biomarker for in-hospital mortality in patients with non-idiopathic pulmonary fibrosis (IPF) interstitial lung diseases. A retrospective cohort analysis was carried out utilizing the Medical Information Mart for Intensive Care database, including 1138 patients with non-idiopathic pulmonary fibrosis interstitial lung diseases. Patients were divided into a survivor group (n = 1023) and a non-survivor group (n = 115) based on in-hospital mortality. The Boruta algorithm combined with a machine learning-based random forest algorithm was employed to calculate Shapley Additive Explanations (SHAP) values to identify clinical indicators significantly contributing to in-hospital mortality. A nomogram model based on logistic regression was constructed to assess the relationship between RCR and in-hospital mortality. Compared to the survivor group, the non-survivor group's average age was significantly older (73.00 ± 10.67 years vs 69.83 ± 13.24 years, P = .013), and RCR was significantly elevated in the non-survivor group (1.83 ± 0.30 vs 1.73 ± 0.27, P <.001). After adjusting for white blood cell count, blood urea nitrogen (BUN), sodium levels, and pneumonia in the model, the odds ratio for RCR was 2.283 (95% CI: 1.108-4.649, P = .024). BUN was identified as a mediator, accounting for approximately 14.6% of the indirect effect. Subgroup analyses revealed a stronger association of RCR with in-hospital mortality in female patients, those aged ≤65 years, and patients with hypertension. The nomogram model's C-index was 0.771 for the training set and 0.764 for the validation set. The training set's area under the curve was 0.771 (95% CI: 0.712-0.829), while the validation set's was 0.764 (95% CI: 0.706-0.821). RCR serves as a simple and effective biomarker for predicting in-hospital mortality risk in patients with non-idiopathic pulmonary fibrosis, with BUN playing a mediating role in this association.

Indexed as

CalciumErythrocyte IndicesHospital MortalityLung Diseases, InterstitialAgedAged, 80 and overBiomarkersDatabases, FactualFemaleHumansLogistic ModelsMaleMiddle AgedNomogramsRetrospective StudiesBiomarkersCalciummediating effectnomogram modelnon-idiopathic pulmonary fibrosisred cell distribution widthserum calcium

Identifiers

PMID41731806
PMCPMC12928890

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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.