Evidence map›Paper›PMID 41998493›Full record

ArticleBMC cardiovascular disorders2026

Association between blood urea nitrogen to albumin ratio and 28-day mortality of acute heart failure in intensive care unit: analysis based on MIMIC-IV database.

Lifen Ouyang, Jin Zhu, Zijing Wan, Yan Cheng, Qingyun He

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Article in BMC cardiovascular disorders, 2026. 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.

Lifen OuyangJiangxi Province Hospital of Integrated Chinese and Western Medicine, Nanchang, 330003, China.
Jin ZhuJiangxi Province Hospital of Integrated Chinese and Western Medicine, Nanchang, 330003, China.
Zijing WanJiangxi Province Hospital of Integrated Chinese and Western Medicine, Nanchang, 330003, China.
Yan ChengJiangxi Province Hospital of Integrated Chinese and Western Medicine, Nanchang, 330003, China.
Qingyun HeJiangxi Province Hospital of Integrated Chinese and Western Medicine, Nanchang, 330003, China. qingyun202503@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAcute heart failure (AHF) is a common complication in critically ill patients. The purpose of this study was to investigate the relationship between blood urea nitrogen to albumin ratio (BAR) and poor prognosis of AHF in the Intensive Care Unit (ICU).

methodsAHF patients were selected from the MIMIC-IV 2.2 database and data were extracted. Boruta algorithm was used for feature selection. Cox regression analysis, restricted cubic spline (RCS) analysis and Kaplan-Meier survival curve were used to evaluate the association between BAR and mortality. Receiver Operating Characteristic (ROC) was used to evaluate the diagnostic accuracy and subgroup analysis was performed to evaluate the universality of the results.

resultsA total of 671 patients were included in the database, and Boruta analysis identified BAR as an important clinical feature. BAR, whether as a continuous variable or grouped, suggests that BAR is a predictor of poor prognosis of AHF, and a higher level indicates a poor prognosis. The RCS model reveals the nonlinear relationship between BAR and mortality. The Area Under Curve (AUC) and 95% CI of BAR in predicting 28-day mortality and 90-day mortality were 0.645 (0.588–0.699) and 0.643 (0.593–0.692), respectively. Subgroup analysis showed that age, gender, Continuous Renal Replacement Therapy (CRRT) and scoring system were the factors affecting the predictive value.

conclusionBAR may have potential value in predicting the mortality of patients with AHF in ICU, supporting the early use of risk assessment. However, further studies are needed to confirm this result.

Indexed as

Blood Urea NitrogenHeart FailureIntensive Care UnitsSerum Albumin, HumanAcute DiseaseAgedBiomarkersCritical IllnessDatabases, FactualFemaleHospital MortalityHumansMaleMiddle AgedPredictive Value of TestsPrognosisALB protein, humanBiomarkersSerum Albumin, HumanAcute heart failureAlbuminMIMIC-IVPrognosisUrea nitrogen

Identifiers

PMID41998493
PMCPMC13231643

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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.