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May 17, 2026Medicine0 citationsOpen Access

Predictive value of EASIX for CKD patients with CRS

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DZDuo ZhaoChinese PLA General HospitalFZF ZHANGJilin UniversityHWHongyan WangChinese PLA General Hospital

Key Result

The endothelial activation and stress index (EASIX) demonstrated high predictive value for identifying cardiorenal syndrome in patients with chronic kidney disease (AUC 0.821; 95% CI 0.767-0.876).

Key Points

  • Investigate the predictive value of EASIX for chronic kidney disease patients with cardiorenal syndrome.
  • Retrospective study of 253 CKD patients admitted from January 2021 to June 2024.
  • Patients divided into CRS (n=77) and non-CRS (n=176) groups.
  • Univariate and binary logistic regression analyses performed.
  • EASIX predictive area under the curve (AUC) was 0.821 (95% CI: 0.767–0.876), sensitivity 85.71%, specificity 76.14%.
  • RDW AUC was 0.742 (95% CI: 0.674–0.811) with sensitivity 77.92%, specificity 69.32%.
  • Post-treatment patients with EASIX ≤ 3.18 had higher calcium and lower phosphorus levels.

Study Design

Type

Observational (n=253)

Multicenter

No

Structured PICO

Does the endothelial activation and stress index (EASIX) predict the presence of cardiorenal syndrome in patients with chronic kidney disease?

P
Population
253 patients with chronic kidney disease (CKD), divided into those with cardiorenal syndrome (CRS, n=77) and without CRS (n=176)
I
Intervention
Endothelial activation and stress index (EASIX) evaluation
O
Outcome
Predictive value of EASIX for cardiorenal syndrome (measured by Area Under the Curve [AUC])surrogate

EASIX demonstrates high predictive value for identifying cardiorenal syndrome in patients with chronic kidney disease.

Main Result

Effect estimate: AUC 0.821 (95% CI 0.767-0.876)

p-value: p=<.05

Abstract

This study aimed to investigate predictive value of endothelial activation and the endothelial activation and stress index (EASIX) for chronic kidney disease (CKD) patients with cardiorenal syndrome (CRS). A retrospective study was conducted on 253 CKD patients admitted to our hospital from January 2021 to June 2024. Patients were divided into CRS group (n = 77) and non-CRS group (n = 176). Univariate and binary Logistics regression analyses were performed to identify influencing factors. The receiver operating characteristic (ROC) curve was used to evaluate the predictive value of EASIX for CKD patients with CRS. There were significant differences in terms of hypertension, red blood cell count, red cell distribution width (RDW), blood urea nitrogen, albumin, interleukin-6, C-reactive protein, EASIX, and CKD stage between the 2 groups ( P 3.18, with significant differences ( P < .05). EASIX demonstrates high predictive value in predicting CKD patients with CRS, suggesting its inclusion as an evaluation index.

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Cite This Study

Zhao et al. (2026) conducted an observational in Chronic kidney disease (CKD) with cardiorenal syndrome (CRS) (n=253). Endothelial activation and stress index (EASIX) was evaluated on Predictive value of EASIX for CRS in CKD patients (AUC 0.821, 95% CI 0.767-0.876, p=<.05). The endothelial activation and stress index (EASIX) demonstrated high predictive value for identifying cardiorenal syndrome in patients with chronic kidney disease (AUC 0.821; 95% CI 0.767-0.876).

synapsesocial.com/papers/6a095ba67880e6d24efe16a8https://doi.org/10.1097/md.0000000000048103
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