Evidence map›Paper›PMID 42432615›Full record

ArticleBMC pediatrics2026

Association of Aggregate Index of Systemic Inflammation (AISI) with all-cause mortality in critically Ill pediatric patients: a retrospective cohort study.

De-Chun Tian, Xiao-Lan Zhang, Chun-Jiang Chen, Cheng-Long Liu

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Article in BMC pediatrics, 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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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

De-Chun TianDepartment of Neonatology, People's Hospital of Qianxinan Prefecture, Guizhou Province, China.
Xiao-Lan ZhangDepartment of Pediatrics, Third People's Hospital of Liaocheng, No. 62, Weiyu Road, Liaocheng City, Shandong Province, China.
Chun-Jiang ChenDepartment of Neonatology, People's Hospital of Qianxinan Prefecture, Guizhou Province, China. cjiangchen2025@126.com.
Cheng-Long LiuDepartment of Anesthesiology, Pujiang People's Hospital, Chengdu city, Sichuan Province, 611630, China. long9611094@163.com.ORCID https://orcid.org/0009-0001-6456-2075

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGrowing evidence supports the prognostic utility of AISI in adults, but its association with mortality in the critically ill pediatric population remains poorly characterized.

objectiveTo investigate the association between AISI and 28-day all-cause mortality in critically ill pediatric patients.

methodsA total of 8,797 patients admitted to the pediatric intensive care unit were included from the PIC Database. The AISI was log₂-transformed and categorized into four groups based on quartiles. The outcomes included 28-day all-cause mortality, both in-hospital and in-ICU. Cox proportional hazards regression, restricted cubic spline, two-piecewise threshold model, and subgroup analyses were used to evaluate the association between AISI and 28-day all-cause mortality.

resultsMales accounted for 4,930 (56.0%) of the patients. The overall 28-day in-hospital and ICU all-cause mortality rates were 4.3% and 4.2%, respectively. The RCS analysis revealed a significant nonlinear association between the log

conclusionsThis study suggests a nonlinear association between AISI and 28-day mortality in critically ill pediatric patients. AISI levels above the threshold were independently associated with an increased mortality risk.

Indexed as

Critical IllnessInflammationSeverity of Illness IndexAdolescentCause of DeathChildChild, PreschoolFemaleHospital MortalityHumansInfantIntensive Care Units, PediatricMalePrognosisProportional Hazards ModelsRetrospective StudiesAISIAll-cause mortalityCritically ill childrenNonlinear associationPIC DatabaseThreshold point

Identifiers

PMID42432615
PMCPMC13663126

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