Prognostic value of the creatinine-albumin ratio in acute pancreatitis debridement
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RESEARCH ARTICLE
Open Access
Prognostic value of the creatinine‑albumin ratio in acute pancreatitis debridement Zhifeng Zhao1,4, Yeping Yu2,4, Rongli Xie3,4, Kaige Yang4, Dan Xu4, Li Li3,4, Jiayun Lin1,4, Lei Zheng1,4, Chihao Zhang1,4, Xin Xu1,4, Ying Chen4,5*, Zhiwei Xu4, Erchen Chen4,5, Meng Luo1,4* and Jian Fei4*
Abstract Background: Increases in the levels of serum C-reactive protein (CRP) and creatinine (Cr) and decreases in those of albumin (Alb) are commonly observed in acute pancreatitis (AP). We aimed to evaluate the efficacy of the Cr/Alb and CRP/Alb ratios in the prediction of surgical treatment effect in AP patients. Methods: This study retrospectively analyzed clinical data obtained from 140 AP patients who underwent debridement from January 2008 to November 2018 in Shanghai Ruijin Hospital. The Cr/Alb and CRP/Alb ratios at admission and before surgery were assessed in the analysis of clinical statistics, prediction of prognoses, and logistic regression analysis. Results: The admission Cr/Alb had the best predictive value of the four ratios. This value was significantly higher in patients with re-operation and those who died (P
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