ASSESSMENT OF THE VALUE OF THE PLASMA C-REACTIVE PROTEIN/ALBUMIN RATIO FOR ACUTE KIDNEY INJURY IN ACUTE PANCREATITIS PATIENTS

Van Cong Pham1, , Quy Lam Ngo1, Quang Huy Nguyen1, Van Ba Dang1, Van Thuan Nguyen1, Dinh Dien Vu1, Huu Nhuong Le2, Thi Phuong Thao Phung3, Minh Duong Vu1
1 Bệnh viện Quân y 103, Học viện Quân y
2 Bệnh viện Quân y 354
3 Bệnh viện Công an Thành phố Hà Nội

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Abstract

Objectives: To assess the prognostic value of C-reactive protein/Albumin (CAR) for acute kidney injury (AKI) in acute pancreatitis (AP) patients. Methods:A cross-sectional descriptive, analytical study was conducted on 159 patients with AP at Bach Mai Hospital from October 2021 to December 2022. Plasma C-reactive protein (CRP) and Albumin were measured from venous blood samples at hospital admission, and these values were used to predict AKI during the course of treatment. Results: AP patients with AKI had a higher SOFA score (sequential organ failure assessment score) score compared to the group without AKI (7.6 ± 3 vs. 3.3 ± 1, p < 0.05), lower mean blood pressure on admission (54 ± 12mmHg vs. 76 ± 17mmHg, p < 0.05), lower Albumin (28.4 ± 5 g/L vs. 34.9 ± 5.7 g/L, p < 0.001), higher CRP (122.8 ± 20.6 mg/L vs. 27.3 ± 12.4 mg/L, p < 0.05). The CAR had a predictive value for AKI with an area under the curve (AUC) = 0.735 (p < 0.001; 95%CI: 0.605 - 0.865). CAR = 1.0205 had a sensitivity (Se) of 60.9% and specificity (Sp) of 84.5%. Conclusion: CAR is a simple, easily applicable index with prognostic value for AKI in AP patients.

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References

1. Wu W, Zhang Y P, Pan Y M, et al. Predictive value of C-reactive protein/ albumin ratio for acute kidney injury in patients with acute pancreatitis. J Inflamm Res. 2024; 17:5495-5507.
2. Pupelis G. Renal failure in acute pancreatitis. Timing of dialysis and surgery. Przegl Lek. 2000; 57 Suppl 5:29-31.
3. Jiaxiao Li, Junzhe Chen, Hui-yao Lan, et al. Role of C-reactive protein in kidney diseases. Kidney dis (Basel). 2022; 9(2):73-81.
4. Yang X, Ying S, et al. Association between international normalized ratio-to-albumin ratio and mortality in critically ill patients with gastrointestinal bleeding: A retrospective MIMIC-IV database study. BMC Gastroenterol. 2025; 25(1):574.
5. Banks P A, Bollen L, Dervenis C, et al. Classification of acute pancreatitis-2012: Revision of the Atlanta classification and definitions by international consensus. Gut. 2013; 62(1):102-111.
6. Khwaja A. KDIGO clinical practice guidelines for acute kidney injury. Nephron Clin Pract. 2012; 120(4):c179-184.
7. Li H, Qian Z, Liu Z, et al. Risk factors and outcome of acute renal failure in patients with severe acute pancreatitis. J Crit Care. 2010; 25(2):225-229.
8. Ugurlu E T,Tercan M. The role of biomarkers in the early diagnosis of acute kidney injury associated with acute pancreatitis: Evidence from 582 cases. Ulus Travma Acil Cerrahi Derg. 2022; 29(1):81-93.
9. Piyush Mathur. Pathophysiology of acute kidney injury in severe acute pancreatitis-an overview. Gastroenterol Hepatol Open Access. 2019.
10. Pfafflin A, Schleicher E. Inflammation markers in point-of-care testing (POCT). Anal Bioanal Chem. 2009; 393(5):1473-1480.