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Association Between the Neutrophil Percentage-to-Albumin Ratio and Outcomes in Cardiac Intensive Care Unit Patients
The neutrophil percentage-to-albumin ratio (NPAR) is a systemic inflammation-based predictor associated with many diseases' outcomes. Nevertheless, there are few studies on the relationship between NPAR and inflammatory markers, and more importantly, the prognostic value of NPAR in critically i...
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| Published in: | International journal of general medicine 2021-01, Vol.14, p.4933-4943 |
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| creator | Wang, Xue Wang, Jie Wu, Shujie Ni, Qingwei Chen, Peng |
| description | The neutrophil percentage-to-albumin ratio (NPAR) is a systemic inflammation-based predictor associated with many diseases' outcomes. Nevertheless, there are few studies on the relationship between NPAR and inflammatory markers, and more importantly, the prognostic value of NPAR in critically ill patients with cardiovascular disease (CVD) remains unknown.
The data of this retrospective cohort study were from the Medical Information Mart data for Intensive Care III database (MIMIC-III) and the Second Affiliated Hospital of Wenzhou Medical University. Linear regression, logistic regression model, and Cox regression model were used to assess the associations between NPAR levels and length of stay, renal replacement therapy (RRT) use, and 30-day, 90-day and one-year mortality, respectively. The Pearson correlation coefficient was used to present the correlation between NPAR and C-reactive protein (CRP).
Our study included 1599 patients in MIMIC-III and 143 patients in the Second Affiliated Hospital of Wenzhou Medical University. The elevated NPAR was independently associated with increased 30-day, 90-day, and one-year all-cause mortality (adjusted HR, 95% CI:1.51 (1.02-2.24); 1.61 (1.14-2.28); 1.53 (1.15-2.03);
trend = 0.0297; 0.0053; 0.0023; respectively), and it was also associated with increase the length of stay in hospital and ICU (β, 95% CI: 2.76 (1.26-4.27); 1.54 (0.62-2.47), respectively, both
trend |
| doi_str_mv | 10.2147/IJGM.S328882 |
| format | article |
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The data of this retrospective cohort study were from the Medical Information Mart data for Intensive Care III database (MIMIC-III) and the Second Affiliated Hospital of Wenzhou Medical University. Linear regression, logistic regression model, and Cox regression model were used to assess the associations between NPAR levels and length of stay, renal replacement therapy (RRT) use, and 30-day, 90-day and one-year mortality, respectively. The Pearson correlation coefficient was used to present the correlation between NPAR and C-reactive protein (CRP).
Our study included 1599 patients in MIMIC-III and 143 patients in the Second Affiliated Hospital of Wenzhou Medical University. The elevated NPAR was independently associated with increased 30-day, 90-day, and one-year all-cause mortality (adjusted HR, 95% CI:1.51 (1.02-2.24); 1.61 (1.14-2.28); 1.53 (1.15-2.03);
trend = 0.0297; 0.0053; 0.0023; respectively), and it was also associated with increase the length of stay in hospital and ICU (β, 95% CI: 2.76 (1.26-4.27); 1.54 (0.62-2.47), respectively, both
trend <0.001). We found that patients with higher NPAR were more likely to receive RRT (OR, 95% CI: 2.50 (1.28-4.89),
trend =0.0023). Moreover, we confirmed that NPAR was statistically positively correlated with CRP (correlation coefficient r = 0.406,
< 0.0001).
Elevated NPAR on admission was independently associated with increased all-cause mortality and length of stay among CICU patients. The results showed that CICU patients with higher NPAR were more likely to receive RRT. Besides, we also provided the evidence that there is a positive correlation between NPAR and inflammatory indicators (ie, CRP).</description><identifier>ISSN: 1178-7074</identifier><identifier>EISSN: 1178-7074</identifier><identifier>DOI: 10.2147/IJGM.S328882</identifier><identifier>PMID: 34483683</identifier><language>eng</language><publisher>New Zealand: Dove Medical Press Limited</publisher><subject>Age ; Albumin ; Analysis ; Blood pressure ; C-reactive protein ; Cardiac arrhythmia ; cardiac intensive care unit ; Cardiac patients ; Cardiovascular disease ; Cardiovascular diseases ; Clinical outcomes ; Creatinine ; Diabetes ; Glucose ; Heart failure ; Heart rate ; Hemoglobin ; Hypertension ; Inflammation ; Intensive care ; Laboratories ; Length of stay ; Liver diseases ; Lymphocytes ; Medical advice systems ; Medical colleges ; Medical prognosis ; Medical research ; Medicine, Experimental ; Mortality ; neutrophil percentage-to-albumin ratio ; Neutrophils ; Original Research ; Patient outcomes ; Patients ; Population ; Prognosis ; renal replacement therapy ; Vital signs</subject><ispartof>International journal of general medicine, 2021-01, Vol.14, p.4933-4943</ispartof><rights>2021 Wang et al.</rights><rights>COPYRIGHT 2021 Dove Medical Press Limited</rights><rights>2021. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Wang et al. 2021 Wang et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c576t-3bff3a9e49fe850030a2215ccef67b8982473d7f378a275da537526add5428163</citedby><cites>FETCH-LOGICAL-c576t-3bff3a9e49fe850030a2215ccef67b8982473d7f378a275da537526add5428163</cites><orcidid>0000-0003-3357-5743</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2573277623/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2573277623?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34483683$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Xue</creatorcontrib><creatorcontrib>Wang, Jie</creatorcontrib><creatorcontrib>Wu, Shujie</creatorcontrib><creatorcontrib>Ni, Qingwei</creatorcontrib><creatorcontrib>Chen, Peng</creatorcontrib><title>Association Between the Neutrophil Percentage-to-Albumin Ratio and Outcomes in Cardiac Intensive Care Unit Patients</title><title>International journal of general medicine</title><addtitle>Int J Gen Med</addtitle><description>The neutrophil percentage-to-albumin ratio (NPAR) is a systemic inflammation-based predictor associated with many diseases' outcomes. Nevertheless, there are few studies on the relationship between NPAR and inflammatory markers, and more importantly, the prognostic value of NPAR in critically ill patients with cardiovascular disease (CVD) remains unknown.
The data of this retrospective cohort study were from the Medical Information Mart data for Intensive Care III database (MIMIC-III) and the Second Affiliated Hospital of Wenzhou Medical University. Linear regression, logistic regression model, and Cox regression model were used to assess the associations between NPAR levels and length of stay, renal replacement therapy (RRT) use, and 30-day, 90-day and one-year mortality, respectively. The Pearson correlation coefficient was used to present the correlation between NPAR and C-reactive protein (CRP).
Our study included 1599 patients in MIMIC-III and 143 patients in the Second Affiliated Hospital of Wenzhou Medical University. The elevated NPAR was independently associated with increased 30-day, 90-day, and one-year all-cause mortality (adjusted HR, 95% CI:1.51 (1.02-2.24); 1.61 (1.14-2.28); 1.53 (1.15-2.03);
trend = 0.0297; 0.0053; 0.0023; respectively), and it was also associated with increase the length of stay in hospital and ICU (β, 95% CI: 2.76 (1.26-4.27); 1.54 (0.62-2.47), respectively, both
trend <0.001). We found that patients with higher NPAR were more likely to receive RRT (OR, 95% CI: 2.50 (1.28-4.89),
trend =0.0023). Moreover, we confirmed that NPAR was statistically positively correlated with CRP (correlation coefficient r = 0.406,
< 0.0001).
Elevated NPAR on admission was independently associated with increased all-cause mortality and length of stay among CICU patients. The results showed that CICU patients with higher NPAR were more likely to receive RRT. Besides, we also provided the evidence that there is a positive correlation between NPAR and inflammatory indicators (ie, CRP).</description><subject>Age</subject><subject>Albumin</subject><subject>Analysis</subject><subject>Blood pressure</subject><subject>C-reactive protein</subject><subject>Cardiac arrhythmia</subject><subject>cardiac intensive care unit</subject><subject>Cardiac patients</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Clinical outcomes</subject><subject>Creatinine</subject><subject>Diabetes</subject><subject>Glucose</subject><subject>Heart failure</subject><subject>Heart rate</subject><subject>Hemoglobin</subject><subject>Hypertension</subject><subject>Inflammation</subject><subject>Intensive care</subject><subject>Laboratories</subject><subject>Length of stay</subject><subject>Liver diseases</subject><subject>Lymphocytes</subject><subject>Medical advice systems</subject><subject>Medical colleges</subject><subject>Medical prognosis</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Mortality</subject><subject>neutrophil percentage-to-albumin ratio</subject><subject>Neutrophils</subject><subject>Original Research</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Population</subject><subject>Prognosis</subject><subject>renal replacement therapy</subject><subject>Vital signs</subject><issn>1178-7074</issn><issn>1178-7074</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptkk2P0zAYhCMEYpfCjTOyhIQ4kJLY8UcuSKWCpWhhV8CeLcd507pK7GI7i_j3OLQsLUI5OBo_71geT5Y9LYs5Liv-evXx4tP8K8FCCHwvOy9LLnJe8Or-0f9Z9iiEbVEwxkryMDsjVSUIE-Q8C4sQnDYqGmfRW4g_ACyKG0CfYYze7TamR9fgNdio1pBHly_6ZhyMRV-mGaRsi67GqN0AASV1qXxrlEYrG8EGcwuTAujGmoiu00TyCY-zB53qAzw5rLPs5v27b8sP-eXVxWq5uMw15SzmpOk6omqo6g4ELQpSKIxLqjV0jDeiFrjipOUd4UJhTltFCaeYqbalFRYlI7NstfdtndrKnTeD8j-lU0b-FpxfS-Wj0T1IqguCm4q0pCMVa2tFucBAMOWUc1rQ5PVm77UbmwHaKQ-v-hPT0x1rNnLtbqWoipqnqGfZy4OBd99HCFEOJmjoe2XBjUFiympWClbVCX3-D7p1o7cpqkRxgjlnmPyl1ipdwNjOpXP1ZCoXjLOyTs89UfP_UOlrYTDaWehM0k8GXhwNbED1cRNcP04FCafgqz2ovQvBQ3cXRlnIqZlyaqY8NDPhz44DvIP_VJH8Aldp25c</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Wang, Xue</creator><creator>Wang, Jie</creator><creator>Wu, Shujie</creator><creator>Ni, Qingwei</creator><creator>Chen, Peng</creator><general>Dove Medical Press Limited</general><general>Taylor & Francis Ltd</general><general>Dove</general><general>Dove Medical Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-3357-5743</orcidid></search><sort><creationdate>20210101</creationdate><title>Association Between the Neutrophil Percentage-to-Albumin Ratio and Outcomes in Cardiac Intensive Care Unit Patients</title><author>Wang, Xue ; Wang, Jie ; Wu, Shujie ; Ni, Qingwei ; Chen, Peng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c576t-3bff3a9e49fe850030a2215ccef67b8982473d7f378a275da537526add5428163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Albumin</topic><topic>Analysis</topic><topic>Blood pressure</topic><topic>C-reactive protein</topic><topic>Cardiac arrhythmia</topic><topic>cardiac intensive care unit</topic><topic>Cardiac patients</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Clinical outcomes</topic><topic>Creatinine</topic><topic>Diabetes</topic><topic>Glucose</topic><topic>Heart failure</topic><topic>Heart rate</topic><topic>Hemoglobin</topic><topic>Hypertension</topic><topic>Inflammation</topic><topic>Intensive care</topic><topic>Laboratories</topic><topic>Length of stay</topic><topic>Liver diseases</topic><topic>Lymphocytes</topic><topic>Medical advice systems</topic><topic>Medical colleges</topic><topic>Medical prognosis</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Mortality</topic><topic>neutrophil percentage-to-albumin ratio</topic><topic>Neutrophils</topic><topic>Original Research</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Population</topic><topic>Prognosis</topic><topic>renal replacement therapy</topic><topic>Vital signs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Xue</creatorcontrib><creatorcontrib>Wang, Jie</creatorcontrib><creatorcontrib>Wu, Shujie</creatorcontrib><creatorcontrib>Ni, Qingwei</creatorcontrib><creatorcontrib>Chen, Peng</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>International journal of general medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Xue</au><au>Wang, Jie</au><au>Wu, Shujie</au><au>Ni, Qingwei</au><au>Chen, Peng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association Between the Neutrophil Percentage-to-Albumin Ratio and Outcomes in Cardiac Intensive Care Unit Patients</atitle><jtitle>International journal of general medicine</jtitle><addtitle>Int J Gen Med</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>14</volume><spage>4933</spage><epage>4943</epage><pages>4933-4943</pages><issn>1178-7074</issn><eissn>1178-7074</eissn><abstract>The neutrophil percentage-to-albumin ratio (NPAR) is a systemic inflammation-based predictor associated with many diseases' outcomes. Nevertheless, there are few studies on the relationship between NPAR and inflammatory markers, and more importantly, the prognostic value of NPAR in critically ill patients with cardiovascular disease (CVD) remains unknown.
The data of this retrospective cohort study were from the Medical Information Mart data for Intensive Care III database (MIMIC-III) and the Second Affiliated Hospital of Wenzhou Medical University. Linear regression, logistic regression model, and Cox regression model were used to assess the associations between NPAR levels and length of stay, renal replacement therapy (RRT) use, and 30-day, 90-day and one-year mortality, respectively. The Pearson correlation coefficient was used to present the correlation between NPAR and C-reactive protein (CRP).
Our study included 1599 patients in MIMIC-III and 143 patients in the Second Affiliated Hospital of Wenzhou Medical University. The elevated NPAR was independently associated with increased 30-day, 90-day, and one-year all-cause mortality (adjusted HR, 95% CI:1.51 (1.02-2.24); 1.61 (1.14-2.28); 1.53 (1.15-2.03);
trend = 0.0297; 0.0053; 0.0023; respectively), and it was also associated with increase the length of stay in hospital and ICU (β, 95% CI: 2.76 (1.26-4.27); 1.54 (0.62-2.47), respectively, both
trend <0.001). We found that patients with higher NPAR were more likely to receive RRT (OR, 95% CI: 2.50 (1.28-4.89),
trend =0.0023). Moreover, we confirmed that NPAR was statistically positively correlated with CRP (correlation coefficient r = 0.406,
< 0.0001).
Elevated NPAR on admission was independently associated with increased all-cause mortality and length of stay among CICU patients. The results showed that CICU patients with higher NPAR were more likely to receive RRT. Besides, we also provided the evidence that there is a positive correlation between NPAR and inflammatory indicators (ie, CRP).</abstract><cop>New Zealand</cop><pub>Dove Medical Press Limited</pub><pmid>34483683</pmid><doi>10.2147/IJGM.S328882</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-3357-5743</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Age Albumin Analysis Blood pressure C-reactive protein Cardiac arrhythmia cardiac intensive care unit Cardiac patients Cardiovascular disease Cardiovascular diseases Clinical outcomes Creatinine Diabetes Glucose Heart failure Heart rate Hemoglobin Hypertension Inflammation Intensive care Laboratories Length of stay Liver diseases Lymphocytes Medical advice systems Medical colleges Medical prognosis Medical research Medicine, Experimental Mortality neutrophil percentage-to-albumin ratio Neutrophils Original Research Patient outcomes Patients Population Prognosis renal replacement therapy Vital signs |
| title | Association Between the Neutrophil Percentage-to-Albumin Ratio and Outcomes in Cardiac Intensive Care Unit Patients |
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