Organ support & nutrition

Association between serum uric acid level and outcome in intensive care unit, an ancillary analysis of the FROG-ICU cohort (URIC-ICU)

Anaesth Crit Care Pain MedPublished Secondary analysis of the FROG-ICU prospective cohort study

Primary result · 90-day mortalityResult — go to the resultOdds ratio 1.43 95% CI 1.11–1.82

Authors' conclusion

Patients admitted to the ICU displayed a low level of SUA compared to the general population. Higher SUA level was associated with increased 90-day mortality, increased incidence of AKI, even among patients without altered GFR on admission, suggesting a possible role of uric acid in the worsening of renal function.

Study context

Population
ICU patients with serum uric acid (SUA) measurement at inclusion, FROG-ICU cohort
Participants
1,741 patients
Comparison
Higher SUA at admission vs lower SUA
Primary endpoint
90-day mortality
Follow-up
90 days
Methodological detailsancillary study, propensity-score matched analysis, subgroup analysis
  • Ancillary study
  • Propensity-score matched analysis
  • Subgroup analysis

Primary result

As reported in the abstract

Odds ratio

1.43

95% CI 1.11–1.82

Higher SUA vs Lower SUA
OR 1.43 (95% CI 1.11–1.82)

Secondary outcomes

1-year mortality, acute kidney injury (AKI) occurrence, MAKE at day 30

Higher SUA significantly associated with every secondary endpoint

AKI and mortality (subgroup with unaltered glomerular filtration rate (GFR) at admission)

Association between SUA and AKI and mortality also significant

Baseline SUA and SOFA · admission

Median SUA (µmol/L) [113-273]
175
Median SOFA score [5-10]
7

Original publication

Association between serum uric acid level and outcome in intensive care unit, an ancillary analysis of the FROG-ICU cohort (URIC-ICU). Anaesth Crit Care Pain Med. Published 29 September 2025. doi:10.1016/j.accpm.2025.101610

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