Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome

Kahraman, Fatih; DEMIR, MEVLUT; Yilmaz, Ahmet Seyda; BEŞİROĞLU, Fatih; ORHAN, Hikmet

doi:10.5455/annalsmedres.2022.08.263

Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome

Fatih KAHRAMAN, (Kütahya Evliya Çelebi Araştırma ve Eğitim Hastanesi, Kardiyoloji Kliniği, Kütahya, Türkiye)

MEVLUT DEMIR, (Kütahya Sağlık Bilimleri Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Kütahya, Türkiye)

Ahmet Seyda YILMAZ, (Recep Tayyip Erdoğan Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Rize, Türkiye)

Fatih BEŞİROĞLU, (Yalova Devlet Hastanesi, Kardiyoloji Kliniği, Yalova, Türkiye)

Hikmet ORHAN (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Tıbbi Bilişim ve Biyoistatistik Anabilim Dalı, Isparta, Türkiye)

Annals of Medical Research

6 2

Yıl: 2023 Cilt: 30 Sayı: 2 Sayfa Aralığı: 156 - 160 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2022.08.263 İndeks Tarihi: 04-04-2023

Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome

Öz:

Aim: The association between serum albumin-to-creatinine ratio (sACR) and in-hospital mortality remains unclear in patients with acute coronary syndrome (ACS). In this study we aimed to investigate the prognostic value of sACR in predicting in-hospital mortality in ACS. Materials and Methods: The study was conducted in a single tertiary center. Patients hospitalized with both ST Elevation Myocardial Infarction (STEMI) and Non-STEMI were retrospectively analyzed. The sACR and other clinically related parameters were recorded. The primary outcome was in-hospital mortality. Logistic regression (LR) models were used to investigate the association between sACR and in-hospital mortality. Receiver operating characteristic (ROC) curve was used to find out the cut-off level of sACR. Results: A total of 686 patients with ACS were enrolled, of whom 59 (%8.6) died in- hospital follow-up. The sACR was significantly lower in patients who died in hospital (2.9 (2.3-3.7) vs 3.9 (3.3-4.6)). Multivariable LR analysis showed that sACR is an independent predictor of in-hospital mortality in patients with ACS. Area under the curve value gen- erated by ROC curve analysis was 0.719 (95% CI: 0.656-0.783). The sensitivity of sACR predicting in-hospital mortality was 77.5% with the specificity of 59.3%. Conclusion: In this study, lower sACR on admission was found significantly associated with in-hospital mortality in patients with ACS.

Anahtar Kelime: Serum albumin-to-creatinine ratio Acute coronary syndrome In-hospital mortality Short-term prognosis Death

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Kahraman F, DEMIR M, Yilmaz A, BEŞİROĞLU F, ORHAN H (2023). Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome. , 156 - 160. 10.5455/annalsmedres.2022.08.263
Chicago	Kahraman Fatih,DEMIR MEVLUT,Yilmaz Ahmet Seyda,BEŞİROĞLU Fatih,ORHAN Hikmet Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome. (2023): 156 - 160. 10.5455/annalsmedres.2022.08.263
MLA	Kahraman Fatih,DEMIR MEVLUT,Yilmaz Ahmet Seyda,BEŞİROĞLU Fatih,ORHAN Hikmet Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome. , 2023, ss.156 - 160. 10.5455/annalsmedres.2022.08.263
AMA	Kahraman F,DEMIR M,Yilmaz A,BEŞİROĞLU F,ORHAN H Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome. . 2023; 156 - 160. 10.5455/annalsmedres.2022.08.263
Vancouver	Kahraman F,DEMIR M,Yilmaz A,BEŞİROĞLU F,ORHAN H Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome. . 2023; 156 - 160. 10.5455/annalsmedres.2022.08.263
IEEE	Kahraman F,DEMIR M,Yilmaz A,BEŞİROĞLU F,ORHAN H "Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome." , ss.156 - 160, 2023. 10.5455/annalsmedres.2022.08.263
ISNAD	Kahraman, Fatih vd. "Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome". (2023), 156-160. https://doi.org/10.5455/annalsmedres.2022.08.263

APA	Kahraman F, DEMIR M, Yilmaz A, BEŞİROĞLU F, ORHAN H (2023). Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome. Annals of Medical Research, 30(2), 156 - 160. 10.5455/annalsmedres.2022.08.263
Chicago	Kahraman Fatih,DEMIR MEVLUT,Yilmaz Ahmet Seyda,BEŞİROĞLU Fatih,ORHAN Hikmet Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome. Annals of Medical Research 30, no.2 (2023): 156 - 160. 10.5455/annalsmedres.2022.08.263
MLA	Kahraman Fatih,DEMIR MEVLUT,Yilmaz Ahmet Seyda,BEŞİROĞLU Fatih,ORHAN Hikmet Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome. Annals of Medical Research, vol.30, no.2, 2023, ss.156 - 160. 10.5455/annalsmedres.2022.08.263
AMA	Kahraman F,DEMIR M,Yilmaz A,BEŞİROĞLU F,ORHAN H Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome. Annals of Medical Research. 2023; 30(2): 156 - 160. 10.5455/annalsmedres.2022.08.263
Vancouver	Kahraman F,DEMIR M,Yilmaz A,BEŞİROĞLU F,ORHAN H Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome. Annals of Medical Research. 2023; 30(2): 156 - 160. 10.5455/annalsmedres.2022.08.263
IEEE	Kahraman F,DEMIR M,Yilmaz A,BEŞİROĞLU F,ORHAN H "Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome." Annals of Medical Research, 30, ss.156 - 160, 2023. 10.5455/annalsmedres.2022.08.263
ISNAD	Kahraman, Fatih vd. "Prognostic value of serum albumin-to-creatinine ratio in acute coronary syndrome". Annals of Medical Research 30/2 (2023), 156-160. https://doi.org/10.5455/annalsmedres.2022.08.263