Red cell distribution width/albumin ratio and 90-day mortality after burn surgery

Young Joo Seo; Jihion Yu; Jun-Young Park; Narea Lee; Jiwoong Lee; Ji Hyun Park; Hee Yeong Kim; Yu-Gyeong Kong; Young-Kug Kim

doi:10.1093/burnst/tkab050

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Red cell distribution width/albumin ratio and 90-day mortality after burn surgery

更新时间：2022-06-09

- Red cell distribution width/albumin ratio and 90-day mortality after burn surgery
- Burns & Trauma Vol. 10, Issue 1, (2022)
- 作者机构：
  
  1. Department of Anesthesiology and Pain Medicine
  2. Hallym University College of Medicine
  3. University of Ulsan College of Medicine
  4. Department of Anesthesiology and Pain Medicine, National Medical Center
  5. CHA University School of Medicine
- 作者简介：
- 基金信息：
- DOI：10.1093/burnst/tkab050
  CLC：
- Published：2022，
  
  Published Online：27 January 2022，
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Young Joo Seo, Jihion Yu, Jun-Young Park, Narea Lee, Jiwoong Lee, Ji Hyun Park, Hee Yeong Kim, Yu-Gyeong Kong, Young-Kug Kim, Red cell distribution width/albumin ratio and 90-day mortality after burn surgery, Burns & Trauma, Volume 10, 2022, tkab050, https://doi.org/10.1093/burnst/tkab050
DOI：

Young Joo Seo, Jihion Yu, Jun-Young Park, Narea Lee, Jiwoong Lee, Ji Hyun Park, Hee Yeong Kim, Yu-Gyeong Kong, Young-Kug Kim, Red cell distribution width/albumin ratio and 90-day mortality after burn surgery, Burns & Trauma, Volume 10, 2022, tkab050, https://doi.org/10.1093/burnst/tkab050 DOI：

摘要

Abstract

BackgroundRed cell distribution width (RDW) and serum albumin concentration are associated with postoperative outcomes. However

the usefulness of the RDW/albumin ratio in burn surgery remains unclear. Therefore

we evaluated the association between RDW/albumin ratio and 90-day mortality after burn surgery.MethodsBetween 2013 and 2020

a retrospective review of patients in a burn intensive care unit (ICU) was performed. Receiver operating characteristic curve

multivariate Cox logistic regression

multivariate logistic regression and Kaplan–Meier analyses were conducted to evaluate the association between RDW/albumin ratio and 90-day mortality after burn surgery. Additionally

prolonged ICU stay rate (>60 days) and ICU stay were assessed.ResultsNinety-day mortality was 22.5% (210/934) in burn patients. Risk factors for 90-day mortality were RDW/albumin ratio at postoperative day 1

age

American Society of Anesthesiologists physical status

diabetes mellitus

inhalation injury

total body surface area burned

hypotensive event and red blood cell transfusion volume. The area under the curve of the RDW/albumin ratio at postoperative day 1 to predict 90-day mortality

after adjusting for age and total body surface area burned

was 0.875 (cut-off value

6.8). The 90-day mortality was significantly higher in patients with RDW/albumin ratio >6.8 than in those with RDW/albumin ratio ≤6.8 (49.2% vs 12.3%

p < 0.001). Prolonged ICU stay rate and ICU stay were significantly higher and longer in patients with RDW/albumin ratio >6.8 than in those with RDW/albumin ratio ≤6.8 (34.5% vs 26.5%; 21 [11–38] vs 18 [7–32] days).ConclusionRDW/albumin ratio >6.8 on postoperative day 1 was associated with higher 90-day mortality

higher prolonged ICU stay rate and longer ICU stay after burn surgery.

关键词

Keywords

Red cell distribution widthAlbumin ratioMortalityBurnRisk factorSurgery

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