{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T07:15:24Z","timestamp":1783149324592,"version":"3.54.6"},"reference-count":40,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Zhejiang Province Traditional Chinese Medicine Science and Technology Plan Project","award":["2025ZL616"],"award-info":[{"award-number":["2025ZL616"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The neutrophil percentage-to-albumin ratio has shown prognostic significance across several chronic diseases; however, its relevance within the context of sleep disorders has not been investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study utilized data from the National Health and Nutrition Examination Survey for the years 2005\u20132014 to explore the connection between the neutrophil percentage-to-albumin ratio and all-cause mortality in people with sleep disorders. Mortality risk was assessed using Cox regression, and the analyses included restricted cubic spline, Kaplan\u2013Meier survival, subgroup, and time-dependent receiver operating characteristic curve analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A positive correlation was identified between the neutrophil percentage-to-albumin ratio and mortality risk among individuals with sleep disorders (hazard ratio\u2009=\u20091.09, 95% confidence interval: 1.05, 1.14). A comparison between the highest (Q4) and lowest (Q1) quartiles revealed that patients in Q4 had an 86% higher mortality risk (hazard ratio\u2009=\u20091.86, 95% confidence interval: 1.31, 2.65). Subgroup analysis further confirmed consistency across different demographic and clinical strata (all\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      for interaction &gt; 0.05). Furthermore, the neutrophil percentage-to-albumin ratio demonstrated strong predictive performance for early mortality risk in patients with sleep disorders (1-year area under the curve = 0.751, 95% confidence interval: 0.693, 0.808).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among patients diagnosed with sleep disorders, higher levels of NPAR are independently linked to an elevated risk of all-cause mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605261464298","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T13:10:26Z","timestamp":1782911426000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The inflammation\u2013nutrition axis and survival outcomes: Role of the neutrophil percentage-to-albumin ratio in patients with sleep disorders"],"prefix":"10.1177","volume":"54","author":[{"given":"Lili","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Clinical Laboratory, Longquan People's Hospital, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuru","family":"Zhang","sequence":"additional","affiliation":[{"name":"Qiaosi Subdistrict Community Health Service Center, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lihua","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory, Longquan People's Hospital, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6033-6039","authenticated-orcid":false,"given":"Shuaiqing","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Lishui Hospital of Traditional Chinese Medicine, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.9476"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/jcmm.14170"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11065-020-09473-1"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2020.12.035"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2017.01.026"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-15870-x"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2019.01827"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41562-020-00965-x"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnma.2017.04.005"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleh.2020.09.002"},{"key":"e_1_3_3_12_2","doi-asserted-by":"crossref","unstructured":". 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