{"title":"Neutrophil percentage-to-albumin ratio as a novel predictor of mortality in HBV-Related acute-on-chronic liver failure.","authors":"Yulituzi Waili, Yang Xiang, WeiLin Mao","doi":"10.1080/17520363.2025.2525072","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>HBV-related acute-on-chronic liver failure (HBV-ACLF) has a high short-term mortality rate, making early prognosis vital. This study investigated the predictive value of the neutrophil percentage-to-albumin ratio (NPAR) in HBV-ACLF.</p><p><strong>Methods: </strong>This retrospective study analyzed consecutive patients hospitalized with HBV-ACLF to identify risk factors for 90-day mortality. Disease severity was assessed using the Model for End-Stage Liver Disease (MELD) score, and multivariate regression analysis was performed to identify independent risk factors for mortality.</p><p><strong>Results: </strong>A total of 189 patients with HBV-ACLF were included in the analysis. The 90-day mortality rate was 45.5%. Higher NPAR levels were markedly associated with an increased mortality risk and were identified as an independent predictor comparable to the MELD score. The combination of NPAR and MELD score provided better prognostic accuracy than use of either marker alone.</p><p><strong>Conclusions: </strong>NPAR is a valuable predictor of 90-day mortality in HBV-ACLF patients, and its combination with the MELD score improves prognostic accuracy.</p>","PeriodicalId":9182,"journal":{"name":"Biomarkers in medicine","volume":" ","pages":"623-628"},"PeriodicalIF":1.9000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Biomarkers in medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/17520363.2025.2525072","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/29 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background: HBV-related acute-on-chronic liver failure (HBV-ACLF) has a high short-term mortality rate, making early prognosis vital. This study investigated the predictive value of the neutrophil percentage-to-albumin ratio (NPAR) in HBV-ACLF.
Methods: This retrospective study analyzed consecutive patients hospitalized with HBV-ACLF to identify risk factors for 90-day mortality. Disease severity was assessed using the Model for End-Stage Liver Disease (MELD) score, and multivariate regression analysis was performed to identify independent risk factors for mortality.
Results: A total of 189 patients with HBV-ACLF were included in the analysis. The 90-day mortality rate was 45.5%. Higher NPAR levels were markedly associated with an increased mortality risk and were identified as an independent predictor comparable to the MELD score. The combination of NPAR and MELD score provided better prognostic accuracy than use of either marker alone.
Conclusions: NPAR is a valuable predictor of 90-day mortality in HBV-ACLF patients, and its combination with the MELD score improves prognostic accuracy.
期刊介绍：
Biomarkers are physical, functional or biochemical indicators of physiological or disease processes. These key indicators can provide vital information in determining disease prognosis, in predicting of response to therapies, adverse events and drug interactions, and in establishing baseline risk. The explosion of interest in biomarker research is driving the development of new predictive, diagnostic and prognostic products in modern medical practice, and biomarkers are also playing an increasingly important role in the discovery and development of new drugs. For the full utility of biomarkers to be realized, we require greater understanding of disease mechanisms, and the interplay between disease mechanisms, therapeutic interventions and the proposed biomarkers. However, in attempting to evaluate the pros and cons of biomarkers systematically, we are moving into new, challenging territory.
Biomarkers in Medicine (ISSN 1752-0363) is a peer-reviewed, rapid publication journal delivering commentary and analysis on the advances in our understanding of biomarkers and their potential and actual applications in medicine. The journal facilitates translation of our research knowledge into the clinic to increase the effectiveness of medical practice.
As the scientific rationale and regulatory acceptance for biomarkers in medicine and in drug development become more fully established, Biomarkers in Medicine provides the platform for all players in this increasingly vital area to communicate and debate all issues relating to the potential utility and applications.
Each issue includes a diversity of content to provide rounded coverage for the research professional. Articles include Guest Editorials, Interviews, Reviews, Research Articles, Perspectives, Priority Paper Evaluations, Special Reports, Case Reports, Conference Reports and Company Profiles. Review coverage is divided into themed sections according to area of therapeutic utility with some issues including themed sections on an area of topical interest.
Biomarkers in Medicine provides a platform for commentary and debate for all professionals with an interest in the identification of biomarkers, elucidation of their role and formalization and approval of their application in modern medicine. The audience for Biomarkers in Medicine includes academic and industrial researchers, clinicians, pathologists, clinical chemists and regulatory professionals.
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