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A New Mortality Predictor in Patients of Internal Medicine Intensive Care Unit: C-Reactive Protein-to-Albumin Ratio

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dc.contributor.author Fındıklı, Hüseyin Avni
dc.contributor.author Erdoğan, Murat
dc.contributor.author Şahin Tutak, Ayşe
dc.date.accessioned 2025-08-19T10:59:02Z
dc.date.available 2025-08-19T10:59:02Z
dc.date.issued 2020
dc.identifier.issn 2717-6428
dc.identifier.uri http://dspace.adiyaman.edu.tr:8080/xmlui/handle/20.500.12414/6617
dc.description.abstract Aims: C-reactive protein (CRP) and albumin can be used as prognostic markers for various clinical results, the combination of these markers has even greater prognostic value. This study aimed to examine whether the C-reactive protein-to-albumin ratio (CAR) has any prognostic role in respect of mortality in intensive care unit (ICU) patients. Methods: A retrospective evaluation was made of 119 patients in the ICU in respect of demographic characteristics, disease diagnosis, laboratory data, CAR, and acute physiology and chronic health evaluation II (APACHE II) scores. Results: The mean APACHE II scores and the total length of stay in hospital values were significantly higher, albumin was low and the mean CRP and CAR values were high in the non-survivors group. In the multivariate analysis, CAR, and APACHE II were determined as independent determinants. The Kaplan-Meier curve and the Log-Rank test showed that total 60-day mortality was higher in the patient group with high CAR. In the ROC curve analysis applied for 60-day mortality after admission to ICU, the area under the curve values of APACHE II and CAR were calculated as 0.947 and 0.676 respectively. Conclusion: Few studies are available in the literature about the CAR value in general ICU patients was evaluated in respect of mortality. It was determined that increased CAR values were associated with mortality. This can be considered an important parameter as the predictive rates of mortality are as high as those of APACHE II, and it is a low-cost and readily available parameter that can be used alone in the determination of mortality prediction. tr
dc.language.iso en tr
dc.publisher Soc Turkish Intensivists - STI tr
dc.subject Albumin tr
dc.subject C-reactive protein tr
dc.subject C-reactive protein-to-albumin ratio tr
dc.subject mortality tr
dc.subject critical care tr
dc.title A New Mortality Predictor in Patients of Internal Medicine Intensive Care Unit: C-Reactive Protein-to-Albumin Ratio tr
dc.type Article tr
dc.contributor.authorID 0000-0001-5911-2531 tr
dc.contributor.department Kahramanmaras Necip Fazil City Hosp, Dept Internal Med, tr
dc.contributor.department Adana City Training & Res Hosp, Dept Intens Care Unit, tr
dc.contributor.department Adiyaman Univ, Dept Internal Med tr
dc.identifier.endpage 59 tr
dc.identifier.issue 3 tr
dc.identifier.startpage 55 tr
dc.identifier.volume 11 tr
dc.source.title JOURNAL OF CRITICAL & INTENSIVE CARE tr


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