The Neutrophil Percentage-to-Albumin Ratio Is Associated with All-Cause Mortality in Critically Ill Patients with Acute Kidney Injury.

Background. There is no evidence to suggest the predictive power of neutrophil percentage-to-albumin ratio (NPAR) in patients with acute kidney injury (AKI). We hypothesized that NPAR would correlate with all-cause mortality in critically ill patients with AKI. Methods. From the MIMIC-III V1.4 datab...

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Publicado en:BioMed Research International pp. 1 - 10
Autores principales: Wang, Benji, Li, Diwen, Cheng, Bihuan, Ying, Binyu, Gong, Yuqiang
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 2/18/2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2/18/2020
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2020/5687672
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        atl: The Neutrophil Percentage-to-Albumin Ratio Is Associated with All-Cause Mortality in Critically Ill Patients with Acute Kidney Injury.
      aug:
        au:
          Wang, Benji
          Li, Diwen
          Cheng, Bihuan
          Ying, Binyu
          Gong, Yuqiang
        affil: Department of Anesthesiology, Critical Care and Pain Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China
      sug:
        subj:
          Neutrophils
          Serum Albumin
          Critically Ill Patients
          Kidney Failure, Acute Mortality
          Mortality Risk Factors
          Risk Assessment
          Human
          Comorbidity
          Diagnosis, Laboratory
          Cox Proportional Hazards Model
          Kidney Failure, Acute Prognosis
          Multivariate Analysis
          Age Factors
          Ethnic Groups
          Sex Factors
          Odds Ratio
          Confidence Intervals
      ab: Background. There is no evidence to suggest the predictive power of neutrophil percentage-to-albumin ratio (NPAR) in patients with acute kidney injury (AKI). We hypothesized that NPAR would correlate with all-cause mortality in critically ill patients with AKI. Methods. From the MIMIC-III V1.4 database, we extracted demographics, vital signs, comorbidities, laboratory tests, and other clinical data. The clinical endpoints were 30-, 90- and 365-day all-cause mortality in critically ill patients with AKI. Cox proportional hazards models were used to evaluate the prognostic values of NPAR, and subgroup analyses were performed to measure mortality across various subgroups. Results. A total of 7,481 eligible subjects were enrolled. In multivariate analysis, after adjustments for age, ethnicity, gender, and other confounding factors, higher NPARs were associated with an increased risk of 30-, 90- and 365-day all-cause mortality in critically ill patients with AKI (tertile 3 versus tertile 1: adjusted HR, 95% CI: 1.48, 1.30–1.69; 1.47, 1.31–1.66; 1.46, 1.32–1.62, respectively; P trend <0.01). A similar trend was observed in the NPAR group division by quintiles. Subgroup analysis revealed no significant interactions in most strata. Conclusions. Increased NPAR correlates with increased risk of all-cause mortality in critically ill patients with AKI.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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