Evidence map›Paper›PMID 42290841›Full record

ArticleFrontiers in endocrinology2026

Incremental prognostic value of the fibrinogen-to-albumin ratio for adverse perinatal outcomes in preeclampsia: a dual-center retrospective cohort study.

Xiaoyun Chen, Zhihong Wang, Yueqiong Wang, Huaijian Zhang, Yahui Liu, Yichao Pan, Ling Chen, Xun Zhang, Jiabin Li, Ye Huang

Abstract readMulticenter Study
In one paragraph

Article in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Xiaoyun Chen *Department of Anesthesiology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, Fujian, China.
Zhihong Wang *Department of Neonatology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, Fujian, China.
Yueqiong Wang *Department of Anesthesiology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, Fujian, China.
Huaijian Zhang *Department of Anesthesiology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China.
Yahui Liu *Department of Anesthesiology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, Fujian, China.
Yichao Pan *Department of Anesthesiology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, Fujian, China.
Ling ChenDepartment of Cardiac Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Xun ZhangDepartment of Anesthesiology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, Fujian, China.
Jiabin LiDepartment of Anesthesiology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, Fujian, China.
Ye HuangDepartment of Anesthesiology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, Fujian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to evaluate whether the fibrinogen-to-albumin ratio (FAR) provides incremental prognostic value for identifying preeclamptic patients at high risk of adverse peripartum events, defined as a composite adverse perinatal outcome (CAPO) that serves as a surrogate for severe disease burden, and to explore its potential utility in guiding anesthesia-relevant decisions. Methods: This dual-center retrospective cohort study included 924 preeclamptic patients from two tertiary referral hospitals. Patients from center A ( Results: In the training cohort, model A achieved an AUC of 0.852 (95% confidence interval [CI] 0.818-0.887), whereas model B demonstrated significantly improved discrimination with an AUC of 0.888 (95% CI 0.859-0.917; Conclusions: FAR provides statistically significant incremental prognostic value for predicting CAPO, a composite of severe peripartum events. From an anesthesiology perspective, FAR ≥0.135 alerts to coagulopathy and systemic inflammation, supporting cautious neuraxial anesthesia, early invasive monitoring, and escalated perioperative care.

Indexed as

FibrinogenPre-EclampsiaSerum AlbuminAdultBiomarkersFemaleHumansInfant, NewbornPregnancyPregnancy OutcomePrognosisRetrospective StudiesBiomarkersFibrinogenSerum Albuminadverse perinatal outcomealbuminfibrinogenincremental valuenomogramprediction modelpreeclampsia

Identifiers

PMID42290841
PMCPMC13259769

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.