Predictive value of CRP/albumin ratio in major abdominal surgery

Introduction Surgical site infection (SSI) is a major cause of morbidity, resulting in significant healthcare and economic implications. The ability to predict patients at high risk of SSI may enable targeted follow-up and management. This study sought to examine the relationship between the CRP/alb...

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Bibliographic Details
Published in:Irish journal of medical science 2020-11, Vol.189 (4), p.1465-1470
Main Authors: Donlon, Noel E., Mohan, Helen, Free, Ross, Elbaghir, Badr, Soric, Igor, Fleming, Christina, Balasubramanian, Ischwaria, Ivanovski, Ivan, Schmidt, Karl, Mealy, Ken
Format: Article
Language:English
Subjects:
Family Medicine
General Practice
Internal Medicine
Medicine
Medicine & Public Health
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Summary:Introduction Surgical site infection (SSI) is a major cause of morbidity, resulting in significant healthcare and economic implications. The ability to predict patients at high risk of SSI may enable targeted follow-up and management. This study sought to examine the relationship between the CRP/albumin ratio in the prediction of SSI in patients undergoing emergency major abdominal surgery. Methods A retrospective study of all patients who underwent emergency major abdominal surgery in our institution over 2 years was performed. Patients were identified from a prospectively maintained database of SSI’s and cross-referenced with hospital records. Patient demographics including age, gender, ASA grade, and wound classification (clean, clean/contaminated, contaminated, and dirty) were collated. Results CRP preoperatively of greater than 5 was statistically significant in predicting an SSI ( P  
ISSN:0021-1265
1863-4362
DOI:10.1007/s11845-020-02238-y