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C-Reactive Protein to Albumin Ratio Predicts 30-Day and 1-Year Mortality in Postoperative Patients after Admission to the Intensive Care Unit

C-reactive protein and albumin are associated with poor outcomes in critically ill patients. This study aimed to investigate the significance of the C-reactive protein/albumin (CRP/ALB) ratio as a novel prognostic factor for 30-day or 1-year mortality after admission to the postoperative intensive c...

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Autores principales: Oh, Tak Kyu, Ji, Eunjeong, Na, Hyo-seok, Min, Byunghun, Jeon, Young-Tae, Do, Sang-Hwan, Song, In-Ae, Park, Hee-Pyoung, Hwang, Jung-Won
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5867565/
https://www.ncbi.nlm.nih.gov/pubmed/29495423
http://dx.doi.org/10.3390/jcm7030039
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author Oh, Tak Kyu
Ji, Eunjeong
Na, Hyo-seok
Min, Byunghun
Jeon, Young-Tae
Do, Sang-Hwan
Song, In-Ae
Park, Hee-Pyoung
Hwang, Jung-Won
author_facet Oh, Tak Kyu
Ji, Eunjeong
Na, Hyo-seok
Min, Byunghun
Jeon, Young-Tae
Do, Sang-Hwan
Song, In-Ae
Park, Hee-Pyoung
Hwang, Jung-Won
author_sort Oh, Tak Kyu
collection PubMed
description C-reactive protein and albumin are associated with poor outcomes in critically ill patients. This study aimed to investigate the significance of the C-reactive protein/albumin (CRP/ALB) ratio as a novel prognostic factor for 30-day or 1-year mortality after admission to the postoperative intensive care unit (ICU). This retrospective study was conducted by examining the medical records of postoperative patients aged 19 years or older admitted to the ICU at a tertiary care hospital from January 2007 to July 2016. This study included data on 11,832 postoperative patients in the analysis. The cut-off value of the CRP/ALB ratio was set at 1.75 and 1.58 for 30-day and 1-year mortality after ICU admission, respectively. In postoperative patients with a high CRP/ALB ratio (>1.75 or >1.58), the probability of death within 30 days or 1 year after ICU admission were 30% or 43% higher than that in the group with the least CRP/ALB ratio, respectively (≤1.75 or ≤1.58)(p < 0.05). This study found the CRP/ALB ratio measured immediately after ICU admission to be an independent risk factor for 30-day and 1-year mortality in postoperative patients admitted to the ICU.
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spelling pubmed-58675652018-04-09 C-Reactive Protein to Albumin Ratio Predicts 30-Day and 1-Year Mortality in Postoperative Patients after Admission to the Intensive Care Unit Oh, Tak Kyu Ji, Eunjeong Na, Hyo-seok Min, Byunghun Jeon, Young-Tae Do, Sang-Hwan Song, In-Ae Park, Hee-Pyoung Hwang, Jung-Won J Clin Med Article C-reactive protein and albumin are associated with poor outcomes in critically ill patients. This study aimed to investigate the significance of the C-reactive protein/albumin (CRP/ALB) ratio as a novel prognostic factor for 30-day or 1-year mortality after admission to the postoperative intensive care unit (ICU). This retrospective study was conducted by examining the medical records of postoperative patients aged 19 years or older admitted to the ICU at a tertiary care hospital from January 2007 to July 2016. This study included data on 11,832 postoperative patients in the analysis. The cut-off value of the CRP/ALB ratio was set at 1.75 and 1.58 for 30-day and 1-year mortality after ICU admission, respectively. In postoperative patients with a high CRP/ALB ratio (>1.75 or >1.58), the probability of death within 30 days or 1 year after ICU admission were 30% or 43% higher than that in the group with the least CRP/ALB ratio, respectively (≤1.75 or ≤1.58)(p < 0.05). This study found the CRP/ALB ratio measured immediately after ICU admission to be an independent risk factor for 30-day and 1-year mortality in postoperative patients admitted to the ICU. MDPI 2018-02-26 /pmc/articles/PMC5867565/ /pubmed/29495423 http://dx.doi.org/10.3390/jcm7030039 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Oh, Tak Kyu
Ji, Eunjeong
Na, Hyo-seok
Min, Byunghun
Jeon, Young-Tae
Do, Sang-Hwan
Song, In-Ae
Park, Hee-Pyoung
Hwang, Jung-Won
C-Reactive Protein to Albumin Ratio Predicts 30-Day and 1-Year Mortality in Postoperative Patients after Admission to the Intensive Care Unit
title C-Reactive Protein to Albumin Ratio Predicts 30-Day and 1-Year Mortality in Postoperative Patients after Admission to the Intensive Care Unit
title_full C-Reactive Protein to Albumin Ratio Predicts 30-Day and 1-Year Mortality in Postoperative Patients after Admission to the Intensive Care Unit
title_fullStr C-Reactive Protein to Albumin Ratio Predicts 30-Day and 1-Year Mortality in Postoperative Patients after Admission to the Intensive Care Unit
title_full_unstemmed C-Reactive Protein to Albumin Ratio Predicts 30-Day and 1-Year Mortality in Postoperative Patients after Admission to the Intensive Care Unit
title_short C-Reactive Protein to Albumin Ratio Predicts 30-Day and 1-Year Mortality in Postoperative Patients after Admission to the Intensive Care Unit
title_sort c-reactive protein to albumin ratio predicts 30-day and 1-year mortality in postoperative patients after admission to the intensive care unit
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5867565/
https://www.ncbi.nlm.nih.gov/pubmed/29495423
http://dx.doi.org/10.3390/jcm7030039
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