Association of the serum uric acid to high-density lipoprotein cholesterol ratio with in-hospital mortality in patients with acute kidney injury: a retrospective cohort study - Scorecard - MDSpire

Association of the serum uric acid to high-density lipoprotein cholesterol ratio with in-hospital mortality in patients with acute kidney injury: a retrospective cohort study

  • By

  • Desheng Zhang

  • Gen Li

  • Guohao Xu

  • Lijun Yin

  • Jianghua Guo

  • Jun Lv

  • June 19, 2026

  • 0 min

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Clinical Scorecard: Link Between Serum Uric Acid to HDL Cholesterol Ratio and In-Hospital Mortality in Acute Kidney Injury Patients: A Retrospective Cohort Analysis

At a Glance

CategoryDetail
ConditionAcute Kidney Injury (AKI)
Key MechanismsUric acid to HDL cholesterol ratio (UHR) as a biomarker of metabolic inflammation and cardiovascular risk.
Target PopulationAdults diagnosed with AKI according to KDIGO criteria.
Care SettingTertiary referral hospital

Key Highlights

  • UHR independently predicts in-hospital mortality in AKI patients.
  • Each unit increase in UHR is associated with a 55% higher hazard of in-hospital mortality.
  • Non-survivors had higher serum creatinine, blood urea nitrogen, and C-reactive protein levels.

Guideline-Based Recommendations

Diagnosis

  • AKI diagnosed according to KDIGO criteria.

Management

  • Further mechanistic studies are needed to understand the role of UHR in AKI.

Monitoring & Follow-up

  • Monitor UHR alongside other clinical parameters in AKI patients.

Risks

  • Higher UHR correlates with increased risk of in-hospital mortality.

Patient & Prescribing Data

500 adult AKI patients, with 65 non-survivors identified.

UHR may serve as a prognostic tool for risk stratification in AKI.

Clinical Best Practices

  • Utilize UHR for assessing mortality risk in AKI patients.
  • Consider age, serum creatinine, and CRP levels in conjunction with UHR.

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