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Albumin-corrected anion gap predicts acute kidney injury in critically ill patients with acute pancreatitis: a retrospective cohort study

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机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Gen Surg, 45 Changchun St, Beijing 100053, Peoples R China [2]Capital Med Univ, Clin Ctr Acute Pancreatitis, Beijing, Peoples R China
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关键词: Albumin-corrected anion gap Acute kidney injury Acute pancreatitis Intensive care unit

摘要:
Background Acute kidney injury (AKI) is a common and serious complication of acute pancreatitis. Early detection of patients at high risk for AKI is critical to avoiding complications and lowering mortality. This study looked into the relationship between albumin-corrected anion gap (ACAG) and AKI in critically ill patients with AP. Methods All eligible patients from the Medical Information Marketplace for Critical Care IV database were considered for this study. Kaplan-Meier curves estimated the cumulative risk of AKI and in-hospital mortality. Restricted cubic splines (RCS) and multivariate Cox regression models explored the relationship between ACAG and AKI. Subgroup analyses evaluated the result robustness. Results A total of 714 patients were included (mean ACAG: 20.15 +/- 5.64; in-hospital mortality: 13.87%; AKI incidence: 70.87%). Kaplan-Meier analysis revealed that the ACAG >= 20.25 group exhibited significantly higher AKI incidence and renal replacement therapy(RRT) requirement risk (P < 0.001). Multivariable Cox regression demonstrated ACAG independently associated with AKI risk in AP patients-both as a continuous (HR: 1.12 [95% CI: 1.04-1.21], P = 0.004) and categorical variable (HR: 1.89 [95% CI: 1.11-3.23], P = 0.020). Restricted cubic spline modeling confirmed a linear association between ACAG and increasing AKI risk. Conclusion Elevated ACAG levels (>= 20.25 mmol/L) at ICU admission is associated with a high risk of AKI in critically ill patients with AP.

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出版当年[2025]版:
大类 | 3 区 医学
小类 | 3 区 泌尿学与肾脏学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 泌尿学与肾脏学
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出版当年[2023]版:
Q2 UROLOGY & NEPHROLOGY
最新[2024]版:
Q2 UROLOGY & NEPHROLOGY

影响因子: 最新[2024版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版] 出版后一年[2024版]

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Gen Surg, 45 Changchun St, Beijing 100053, Peoples R China [2]Capital Med Univ, Clin Ctr Acute Pancreatitis, Beijing, Peoples R China
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通讯作者:
通讯机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Gen Surg, 45 Changchun St, Beijing 100053, Peoples R China [2]Capital Med Univ, Clin Ctr Acute Pancreatitis, Beijing, Peoples R China
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