Author/Authors :
Hong, Wandong Department of Gastroenterology and Hepatology - The First Affiliated Hospital of Wenzhou Medical University, Zhejiang, China , Lin, Suhan Department of Gastroenterology and Hepatology - The First Affiliated Hospital of Wenzhou Medical University, Zhejiang, China , Zippi, Maddalena Unit of Gastroenterology and Digestive Endoscopy - Sandro Pertini Hospital, Rome, Italy , Geng, Wujun Department of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China , Stock, Simon Department of Surgery - World Mate Emergency Hospital, Battambang, Cambodia , Basharat, Zarrin Microbiology & Biotechnology Research Lab - Department of Environmental Sciences - Fatima Jinnah Women University, Rawalpindi, Pakistan , Cheng, Bicheng Zhejiang Provincial Top Key Discipline in Surgery - Wenzhou Key Laboratory of Surgery - Department of Surgery - The First Affiliated Hospital - Wenzhou Medical University, Zhejiang, China , Pan, Jingye Intensive Care Unit - The First Affiliated Hospital of Wenzhou Medical University, Zhejiang, China , Zhou, Mengtao Department of Surgery - The First Affiliated Hospital of Wenzhou Medical University, Zhejiang, China
Abstract :
Background and Aims
To investigate the association between serum albumin levels within 24 hrs of patient admission and the development of persistent organ failure in acute pancreatitis.
Methods
A total of 700 patients with acute pancreatitis were enrolled. Multivariate logistic regression and subgroup analysis determined whether decreased albumin was independently associated with persistent organ failure and mortality. The diagnostic performance of serum albumin was evaluated by the area under Receiver Operating Characteristic (ROC) curves.
Results
As levels of serum albumin decrease, the risk of persistent organ failure significantly increases (Ptrend < 0.001). The incidence of organ failure was 3.5%, 10.6%, and 41.6% in patients with normal albumin and mild and severe hypoalbuminaemia, respectively. Decreased albumin levels were also proportionally associated with prolonged hospital stay (Ptrend < 0.001) and the risk of death (Ptrend < 0.001). Multivariate analysis suggested that biliary etiology, chronic concomitant diseases, hematocrit, blood urea nitrogen, and the serum albumin level were independently associated with persistent organ failure. Blood urea nitrogen and the serum albumin level were also independently associated with mortality. The area under ROC curves of albumin for predicting organ failure and mortality were 0.78 and 0.87, respectively.
Conclusion
A low serum albumin is independently associated with an increased risk of developing of persistent organ failure and death in acute pancreatitis. It may also be useful for the prediction of the severity of acute pancreatitis.
Keywords :
Serum Albumin , Independently Associated , Persistent Organ Failure , Acute Pancreatitis
