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ZENODO
Article . 2023
License: CC BY
Data sources: ZENODO
ZENODO
Article . 2023
License: CC BY
Data sources: Datacite
ZENODO
Article . 2023
License: CC BY
Data sources: Datacite
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A Comparative Study between CRP/Albumin Ratio and Serum Procalcitonin as A Prognostic Marker in Sepsis

Authors: Udaybhanu Rout; Ashish Malla; S Dilip Kumar; Aswini Kumar Sahoo; Samir Sahu; Rishab Garg; Abhirup Bagchi; +2 Authors

A Comparative Study between CRP/Albumin Ratio and Serum Procalcitonin as A Prognostic Marker in Sepsis

Abstract

Backgrounds: One of the most prevalent causes of death among hospitalized patients in the critical care unit is sepsis (ICU). Because of the various co-morbidities and underlying disorders that these people have, diagnosing them is very difficult. A combination of hematological, biochemical, and microbiological tests can be used to identify sepsis. PCT and CRP levels are commonly considered valid indicators of the degree of systemic inflammation. The ratio of CRP to albumin is increasingly used as a biomarker for both systemic inflammation and nutritional status. The current study aimed to see if the CRP/albumin ratio, combined with procalcitonin, could be used to predict sepsis. Methods: This was a prospective cross-sectional study carried out with 150 patients. Baseline characteristics, biochemical investigations, and serum CRP/albumin ratios were done. The quantitative variables were expressed as mean and standard deviation compared by ANOVA followed by Bonferroni’s correction. A p-value of <0.05 was considered significant. Results: Serum procalcitonin levels were significantly higher on day-1 in non-survivors compared to survivors (P<0.0001). CRP/albumin ratio was substantially higher on day-1, day-3, and the day of discharge in non-survivors compared to survivors (P<0.0001). Conclusion: Despite the use of optimal treatment and an improved approach, the death rate in sepsis has been proven to be high (56.2 percent). Patients with increased procalcitonin and CRP/albumin ratio at admission can be better classified and identified as having a higher risk of adverse outcomes.

Backgrounds: One of the most prevalent causes of death among hospitalized patients in the critical care unit is sepsis (ICU). Because of the various co-morbidities and underlying disorders that these people have, diagnosing them is very difficult. A combination of hematological, biochemical, and microbiological tests can be used to identify sepsis. PCT and CRP levels are commonly considered valid indicators of the degree of systemic inflammation. The ratio of CRP to albumin is increasingly used as a biomarker for both systemic inflammation and nutritional status. The current study aimed to see if the CRP/albumin ratio, combined with procalcitonin, could be used to predict sepsis. Methods: This was a prospective cross-sectional study carried out with 150 patients. Baseline characteristics, biochemical investigations, and serum CRP/albumin ratios were done. The quantitative variables were expressed as mean and standard deviation compared by ANOVA followed by Bonferroni’s correction. A p-value of <0.05 was considered significant. Results: Serum procalcitonin levels were significantly higher on day-1 in non-survivors compared to survivors (P<0.0001). CRP/albumin ratio was substantially higher on day-1, day-3, and the day of discharge in non-survivors compared to survivors (P<0.0001). Conclusion: Despite the use of optimal treatment and an improved approach, the death rate in sepsis has been proven to be high (56.2 percent). Patients with increased procalcitonin and CRP/albumin ratio at admission can be better classified and identified as having a higher risk of adverse outcomes.

Keywords

Meningitis, CSF studies, hospital mortality, and biochemical investigations.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average