Association between pan-immune-inflammation value and heart failure: Evidence from the NHANES 2011–2020

Objective This study aimed to explore the association between pan-immune-inflammation value and heart failure outcomes using data from the nationally representative National Health and Nutrition Examination Survey database. Methods We conduct a cross-sectional cohort analysis using National Health a...

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Main Authors: Chen Fu, Yijie Mao
Format: Article
Language:English
Published: SAGE Publishing 2025-03-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605251325176
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author Chen Fu
Yijie Mao
author_facet Chen Fu
Yijie Mao
author_sort Chen Fu
collection DOAJ
description Objective This study aimed to explore the association between pan-immune-inflammation value and heart failure outcomes using data from the nationally representative National Health and Nutrition Examination Survey database. Methods We conduct a cross-sectional cohort analysis using National Health and Nutrition Examination Survey data, including participants aged ≥20 years with available pan-immune-inflammation value data. We performed smooth curve fitting and threshold analysis, using both linear and non-linear regression models, to assess dose–response relationship and explore the continuous effect of pan-immune-inflammation value on heart failure outcomes. Results Our analysis revealed a significant and independent non-linear association between elevated pan-immune-inflammation value levels and an increased risk of heart failure occurrence. After adjustment for multiple covariates, these findings remained consistent and each increment unit in logarithmic pan-immune-inflammation value is associated with 34% increase in the risk of heart failure occurrence. Furthermore, we identified an inflection point of logarithmic pan-immune-inflammation value = 5.98 as a critical threshold. Stratified analyses revealed that the association between pan-immune-inflammation value and heart failure occurrence remains consistent across different subgroups. Conclusions This study confirmed the clinical value of pan-immune-inflammation value as a novel inflammatory biomarker in the assessment and monitoring of heart failure.
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spelling doaj-art-17eaa494c0224624be373c0f2d786e2e2025-08-20T02:53:09ZengSAGE PublishingJournal of International Medical Research1473-23002025-03-015310.1177/03000605251325176Association between pan-immune-inflammation value and heart failure: Evidence from the NHANES 2011–2020Chen FuYijie MaoObjective This study aimed to explore the association between pan-immune-inflammation value and heart failure outcomes using data from the nationally representative National Health and Nutrition Examination Survey database. Methods We conduct a cross-sectional cohort analysis using National Health and Nutrition Examination Survey data, including participants aged ≥20 years with available pan-immune-inflammation value data. We performed smooth curve fitting and threshold analysis, using both linear and non-linear regression models, to assess dose–response relationship and explore the continuous effect of pan-immune-inflammation value on heart failure outcomes. Results Our analysis revealed a significant and independent non-linear association between elevated pan-immune-inflammation value levels and an increased risk of heart failure occurrence. After adjustment for multiple covariates, these findings remained consistent and each increment unit in logarithmic pan-immune-inflammation value is associated with 34% increase in the risk of heart failure occurrence. Furthermore, we identified an inflection point of logarithmic pan-immune-inflammation value = 5.98 as a critical threshold. Stratified analyses revealed that the association between pan-immune-inflammation value and heart failure occurrence remains consistent across different subgroups. Conclusions This study confirmed the clinical value of pan-immune-inflammation value as a novel inflammatory biomarker in the assessment and monitoring of heart failure.https://doi.org/10.1177/03000605251325176
spellingShingle Chen Fu
Yijie Mao
Association between pan-immune-inflammation value and heart failure: Evidence from the NHANES 2011–2020
Journal of International Medical Research
title Association between pan-immune-inflammation value and heart failure: Evidence from the NHANES 2011–2020
title_full Association between pan-immune-inflammation value and heart failure: Evidence from the NHANES 2011–2020
title_fullStr Association between pan-immune-inflammation value and heart failure: Evidence from the NHANES 2011–2020
title_full_unstemmed Association between pan-immune-inflammation value and heart failure: Evidence from the NHANES 2011–2020
title_short Association between pan-immune-inflammation value and heart failure: Evidence from the NHANES 2011–2020
title_sort association between pan immune inflammation value and heart failure evidence from the nhanes 2011 2020
url https://doi.org/10.1177/03000605251325176
work_keys_str_mv AT chenfu associationbetweenpanimmuneinflammationvalueandheartfailureevidencefromthenhanes20112020
AT yijiemao associationbetweenpanimmuneinflammationvalueandheartfailureevidencefromthenhanes20112020