The Effect of Urea/Albumin Ratio on Mortality in the Geriatric Patients Admitted in the Intensive Care Unit | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2023]

Author(s):

1. Dilber Ucoz Kocasaban: Department of Emergency Medicine Clinic, Health Sciences University, Ankara Training and Research Hospital,Ankara,Turkey

2. Hayri Ramadan: Department of Emergency Medicine Clinic, Health Sciences University, Ankara Training and Research Hospital,Ankara,Turkey

3. Sertac Guler: Department of Emergency Medicine Clinic, Health Sciences University, Ankara Training and Research Hospital,Ankara,Turkey

4. Yahya Kemal Gunaydin: Department of Emergency Medicine Clinic, Health Sciences University, Ankara Training and Research Hospital,Ankara,Turkey

Abstract:

Objective: To analyse the e ect of urea albumin ratio on mortality in intensive care patients aged over 65 years. Study Design: An observational study. Place and Duration of the Study: Health Sciences University, Ankara Training and Research Hospital, Emergency Critical Intensive Care Unit, from October 2021 to March 2022. Methodology: Patients over 65 years of age admitted in the intensive care unit were included in this study, and the laboratory and clinical data were recorded within the rst 24 hours after the admission of the patient. The urea : albumin ratio was calculated using serum urea and albumin concentrations. All the patients were monitored during intensive care admission and mortality rates were recorded; additionally 1-month mortalities of the patients were also recorded. The data of the survivors and non-survivors were compared. Results: There were 362 patients with mean age of 79.00±8.40 years; 53.9% were females. The median urea : albumin ratio was found to be 22.8 mg/gr. The area under curve, sensitivity and speci city values were found to be 0.631, 68%, and 56% at a cut-o value of 22.1 mg/gr for urea : albumin ratio, respectively. In addition, urea : albumin ratio >22.1mg/gr was found to be signi cant in univariate regression analysis (p<0.001) and multivariate regression analysis (p<0.002) for the predictive value of 1-month mortality. Conclusion: Urea : albumin ratio is a simple and potentially useful prognostic factor in the geriatric patient population admitted in the intensive care unit.

Page(s): 1106-1112

DOI: 10.29271/jcpsp.2023.10.1106

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 33, Issue: 10, Year: 2023

Keywords:

Urea , Geriatrics intensive care unit , Mortality MeSH database , albumin ratio

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