Serum Albumin to Creatinine Ratio and Short-Term Clinical Outcomes in Patients With ST-Elevation Myocardial Infarction

Turkyilmaz, Erdem; Ozkalayci, Flora; BİRDAL, Oğuzhan; Karagoz, Ali; Tanboga, Ibrahim; Tanalp, Ali; Oduncu, Vecih

doi:10.1177/00033197221089423

Serum Albumin to Creatinine Ratio and Short-Term Clinical Outcomes in Patients With ST-Elevation Myocardial Infarction

Turkyilmaz E., Ozkalayci F., BİRDAL O., Karagoz A., Tanboga I. H., Tanalp A. C., ...Daha Fazla

ANGIOLOGY, cilt.73, sa.9, ss.809-817, 2022 (SCI-Expanded, Scopus)

Yayın Türü: Makale / Tam Makale
Cilt numarası: 73 Sayı: 9
Basım Tarihi: 2022
Doi Numarası: 10.1177/00033197221089423
Dergi Adı: ANGIOLOGY
Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, CINAHL, EMBASE, Food Science & Technology Abstracts, MEDLINE
Sayfa Sayıları: ss.809-817
Anahtar Kelimeler: albumin, creatinine, prognosis, myocardial infarction, serum albumin-creatinine ratio, PROGNOSTIC VALUE, SYNTAX SCORE, RISK SCORE, MORTALITY, EVENTS, NEPHROPATHY, ADMISSION
Atatürk Üniversitesi Adresli: Evet

Özet

There is a lack of evidence regarding the short-term predictive value of serum albumin to creatinine ratio (sACR) in patients with ST-segment elevation myocardial infarction (STEMI). This study aims to investigate the relationship between sACR and short-term outcomes in these patients. We retrospectively enrolled 3057 patients with STEMI who underwent primary percutaneous coronary interventions (PCI) (median age was 58 years, and 74.3% were male). In-hospital mortality occurred in 114 (3.7%) patients. Contrast-induced nephropathy (CIN) was reported in 381 (12.4%) patients. During a 30-day follow-up, stent thrombosis (ST) occurred in 28 (.9%) patients and 30-day death in 147 (4.8%) patients. Multivariable logistic regression analysis reported that sACR was inversely associated with 30-day mortality (adjusted odds ratio (aOR): .51, 95% confidence interval (CI) .31-.82, P < .001). The sACR was also inversely associated with in-hospital mortality (aOR: .71, 95% CI .56-.90, P = .009), CIN (aOR: .60, 95% CI .52-.68, P < .001), congestive heart failure (CHF) (aOR: .64, 95% CI .47-.87, P = .007), and ST (aOR .61, 95% CI .41-.92, P = .001) at 30 days. Our findings suggest that sACR is inversely associated with short-term clinical outcomes in patients with STEMI after PCI.