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BMC Anesthesiology

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Open Access 01-12-2023 | Acute Kidney Injury | Research

Role of platelet to albumin ratio for predicting persistent acute kidney injury in patients admitted to the intensive care unit

Authors: Yuanwei Zhai, Xiaoqiang Liu, Yu Li, Qionghua Hu, Zhengwei Zhang, Tianyang Hu

Published in: BMC Anesthesiology | Issue 1/2023

Abstract

Background

The aim of this study was to investigate the prognostic role of platelet to albumin ratio (PAR) and in persistent acute kidney injury (pAKI) of patients admitted to the intensive care unit (ICU).

Methods

We involved pAKI patients from the Medical Information Mart for Intensive Care-IV (MIMIC-IV) database and eICU Collaborative Research Database (eICU-CRD). Receiver operating curve (ROC) analysis was performed to evaluate the optimal cut-off PAR.

Results

A total of 7,646 patients were finally included in the present study. The optimal cut-off value of PAR was 7.2. The high-PAR group was associated with pAKI (hazard ratio [HR]: 3.25, 95% CI: 2.85–3.72, P < 0.001). We also performed this in the validation cohort, the results further confirmed that the high-PAR group was associated with pAKI (HR: 2.24, 95% CI: 1.86–2.71, P < 0.001). The PAR exhibited good pAKI predictive abilities in the original cohort (C-index: 0.726, 95%CI: 0.714–0.739) and in the validation cohort (C-index: 0.744, 95%CI:0.722–0.766) Moreover, as a systemic inflammatory indicator, PAR depicted better predictive ability compared to other systemic inflammatory indicators.

Conclusion

The present study manifested that elevated PAR could predicts pAKI in patients admitted to ICU. PAR may be an easily obtained and useful biomarker to clinicians for the early identification of pAKI.

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Title: Role of platelet to albumin ratio for predicting persistent acute kidney injury in patients admitted to the intensive care unit
Authors: Yuanwei Zhai
Xiaoqiang Liu
Yu Li
Qionghua Hu
Zhengwei Zhang
Tianyang Hu
Publication date: 01-12-2023
Publisher: BioMed Central
Keywords: Acute Kidney Injury
Acute Kidney Injury
Published in: BMC Anesthesiology / Issue 1/2023
Electronic ISSN: 1471-2253
DOI: https://doi.org/10.1186/s12871-023-02137-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Role of platelet to albumin ratio for predicting persistent acute kidney injury in patients admitted to the intensive care unit

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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