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Introduction: Sepsis-associated acute kidney injury (SA-AKI) is a frequent complication in critically ill patients and is associated with increased mortality. This study aimed to evaluate the prognostic value of the lactate/albumin ratio (LAR) and other albumin-based biomarkers in predicting SA-AKI.
Methods: A retrospective observational study was conducted on 564 patients with sepsis, divided into two groups based on the presence (n = 298) or absence (n = 266) of AKI. Clinical characteristics, laboratory parameters, and disease severity scores (SOFA, APACHE II, NEWS, NEWS-Lactate) were compared between groups. The predictive performance of each marker in detecting SA-AKI was assessed using receiver operating characteristic (ROC) curve analysis.
Results: serum creatinine/albumin ratio (sCAR), blood urea nitrogen/albumin ratio (BAR), and procalcitonin/albumin ratio (PAR) procalcitonin (PCT)
Conclusion: It seems that, t for early detection of SA-AKI and may outperform conventional severity scores and standalone laboratory parameters.
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http://dx.doi.org/10.22037/aaemj.v13i1.2723 | DOI Listing |
Eur J Med Res
August 2025
The Second People's Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei, China.
Background: Polytrauma is the simultaneous or sequential occurrence of injuries. Current prognostic indicators of this condition have limitations. This study aimed to investigate the correlation between lactate/albumin ratio (LAR) and short-term prognosis in polytrauma patients and evaluate the predictive value of combining LAR with the Acute Physiology and Chronic Health Evaluation II (APACHE II) and Injury Severity Score (ISS).
View Article and Find Full Text PDFAnn Med
December 2025
Department of PICU, Children's Medical Center, the First Hospital of Jilin University, Changchun, China.
Background: Paediatric acute liver failure (PALF) is a severe life-threatening condition with complex aetiologies and high mortality rates. Prognostic research, particularly in the Chinese paediatric population, is limited. The lactate-albumin ratio (LAR) is a potential prognostic indicator for adverse outcomes in critical illness, and its correlation with survival with the native liver (SNL) in PALF patients requires further study.
View Article and Find Full Text PDFCir Cir
August 2025
Unidad de Investigación Biomédica 02. Instituto Mexicano del Seguro Social, Unidad Médica de Alta Especialidad, Centro Médico Nacional de Occidente, Guadalajara, Jalisco, México.
Objective: To evaluate the predictive value of the lactate/albumin ratio (LAR) for mortality in patients with abdominal sepsis admitted to the intensive care unit (ICU).
Methods: An analytical cross-sectional study to validate the diagnostic test for abdominal sepsis. Patients over 18 years old with a diagnosis of abdominal sepsis admitted to the ICU.
Arch Acad Emerg Med
July 2025
108 Military Central Hospital, Hanoi, Vietnam.
Introduction: Sepsis-associated acute kidney injury (SA-AKI) is a frequent complication in critically ill patients and is associated with increased mortality. This study aimed to evaluate the prognostic value of the lactate/albumin ratio (LAR) and other albumin-based biomarkers in predicting SA-AKI.
Methods: A retrospective observational study was conducted on 564 patients with sepsis, divided into two groups based on the presence (n = 298) or absence (n = 266) of AKI.
Clin Appl Thromb Hemost
August 2025
The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
BackgroundThe lactate-to-albumin ratio (LAR) has prognostic value in various clinical conditions, but its association with mortality in pulmonary embolism (PE) remains unclear. This study aims to investigate the relationship between LAR and 28-day all-cause mortality in PE patients.MethodsThis retrospective observational study used MIMIC-IV database, with 28-day mortality as the primary endpoint.
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