Usefulness of BUN/Albumin Ratio in Prediction of 28-day Mortality in Patients with Acute Cholangitis
Journal of the Korean Society of Emergency Medicine
; : 491-499, 2015.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-96952
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
We evaluated the blood urea nitrogen (BUN)/albumin (B/A) ratio in patients with acute cholangitis to determine the prognostic significance of the B/A ratio as a marker of early mortality in critically ill patients with acute cholangitis.METHODS:
We retrospectively analyzed medical records in two emergency departments (ED) and screened eligible adult patients who were admitted to the ED with acute cholangitis. The B/A ratio was evaluated as the BUN value divided by albumin level on each hospital day. The clinical outcome was mortality after 28 days.RESULTS:
A total of 461 patients with acute cholangitis were included in this study. Multivariate Cox proportional hazard models showed that higher B/A ratio on ED admission (day 1) (Hazard Ratio (HR) 1.182; 95% Confidence Interval (CI) 1.076-1.298, p6.83 on day 1 (HR 4.065; 95% CI 4.123-43.737, p6.26) on day 4 (HR 7.16; 95% CI 1.412-36.333, p=0.018) in patients with acute cholangitis.Conclusion:
The ratio of BUN to albumin on ED admission is a promising prognostic marker of 28-day mortality in patients with acute cholangitis.CONCLUSION:
The ratio of BUN to albumin on ED admission is a promising prognostic marker of 28-day mortality in patients with acute cholangitis.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Prognóstico
/
Nitrogênio da Ureia Sanguínea
/
Modelos de Riscos Proporcionais
/
Colangite
/
Prontuários Médicos
/
Estudos Retrospectivos
/
Fatores de Risco
/
Mortalidade
/
Estado Terminal
/
Albuminas
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Emergency Medicine
Ano de publicação:
2015
Tipo de documento:
Artigo