Evidence map›Paper›PMID 42215878›Full record

ArticleBMC cardiovascular disorders2026

Association of alkaline phosphatase to platelet ratio index with ICU mortality in patients with cardiac arrest.

Yong Li, Zebin Lin, Yifeng Chen, Xinlong Di, Fujian Zhou, Yu Xia, Peng Zhang, Jianmin Tang, Yuhao Liu, Xiaohu Wang and 2 more

Abstract read
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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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5 · Who and what money

Authors and funding

12 authors.

Yong LiDepartment of Cardiology, Zhengzhou University Affiliated Zhengzhou Central Hospital, Zhengzhou, Henan, China.
Zebin LinDepartment of Geriatrics, Zhongshan Hospital Xiamen University, Xiamen, Fujian, 361000, China.
Yifeng ChenDepartment of Cardiology, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450014, China.
Xinlong DiDepartment of Cardiology, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450014, China.
Fujian ZhouDepartment of Cardiology, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450014, China.
Yu XiaDepartment of Cardiology, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450014, China.
Peng ZhangDepartment of Neurology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jianmin TangDepartment of Cardiology, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450014, China.
Yuhao LiuDepartment of Cardiology, Fuwai Central China Cardiovascular Hospital, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, Henan, 451464, China.
Xiaohu WangDepartment of Cardiology, Fuwai Central China Cardiovascular Hospital, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, Henan, 451464, China.
Yiqiang YuanDepartment of Cardiology, Fuwai Central China Cardiovascular Hospital, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, Henan, 451464, China.
Yipin ZhaoDepartment of Cardiology, Fuwai Central China Cardiovascular Hospital, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, Henan, 451464, China. zhao1pin@gmail.com.ORCID http://orcid.org/0000-0003-1446-1273

Funding

Henan Provincial Medical Science and Technology Tackling Program No. LHGJ20240150Henan Provincial Science and Technology Research Project No.252102310242
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe present study aimed to investigate the association between the alkaline phosphatase-to-platelet ratio index (APPRI) and intensive care unit (ICU) mortality in patients with cardiac arrest (CA), and further explore its potential value for risk stratification in this specific population.

methodsA total of 374 CA patients were included in our analysis. They were divided into the survivor group (n = 180) and non-survivor group (n = 194) based on ICU survival status. Baseline characteristics of the two groups were summarized and compared. Univariate and multivariate logistic regression analyses were conducted to explore the association between the alkaline APPRI and ICU mortality. Receiver operating characteristic (ROC) curve analysis was used to determine APPRI's optimal cutoff value for predicting ICU mortality. The Kaplan-Meier method was applied to estimate survival curves of different groups, with the log-rank test used to compare survival differences.

resultsThe non-survivor group exhibited higher APPRI values than the survivor group (0.430 [0.296, 0.733] vs.0.358 [0.246, 0.533)], P < 0.001). Univariate logistic regression analysis showed that APPRI (odds ratio (OR) = 1.077, 95% confidence interval (CI): 1.013-1.146, P = 0.018) was associated with ICU mortality. Multivariate logistic regression analysis revealed that APPRI was one of the independent predictors of ICU mortality (OR = 1.110, 95% CI: 1.022-1.205, P = 0.013). The ROC curve determined the APPRI optimal cut-off value for ICU mortality to be 0.576. The Kaplan-Meier curves showed that patients with APPRI > 0.576 had a higher ICU mortality than that of patients with APPRI ≤ 0.576 (log-rank test P = 0.017).

conclusionsAPPRI is independently associated with ICU mortality in patients with CA, and the index effectively stratifies CA patients at risk of ICU deat.

Indexed as

Alkaline PhosphataseBlood PlateletsHeart ArrestHospital MortalityIntensive Care UnitsAgedBiomarkersFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPlatelet CountPredictive Value of TestsPrognosisRetrospective StudiesAlkaline PhosphataseBiomarkersAlkaline phosphataseAlkaline phosphatase-to-platelet ratio indexBiomarkerCardiac arrestPlatelet

Identifiers

PMID42215878
PMCPMC13440165

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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.