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ABSTRACT: Objectives
The aim of our study was to investigate the association between serum albumin concentration and the risk of cardiac arrest in critically ill patients with end-stage renal disease in the intensive care unit (ICU).Design
This was a secondary analysis.Setting
The Phillip electronic-ICU collaborative database from 2014 to 2015.Participants
This study included 4990 critically ill patients diagnosed with end-stage renal disease.Primary and secondary outcome measures
The exposure of interest was serum albumin concentration. The outcome variable was cardiac arrest.Results
A non-linear relationship was observed between serum albumin concentration and risk of cardiac arrest, with an inflection point of 3.26 g/dL after adjusting for potential confounders. The effect sizes and the CIs on the left and right sides of the inflection point were 0.88 (0.65 to 1.19) and 0.32 (0.16 to 0.64), respectively.Conclusions
Within an albumin range of 3.26-5.6 g/dL, each 1 g/dL increase in serum levels is associated with a 68% decrease of the risk of cardiac arrest in critically ill patients with end-stage renal disease.
SUBMITTER: Zeng YQ
PROVIDER: S-EPMC8830225 | biostudies-literature | 2022 Feb
REPOSITORIES: biostudies-literature
Zeng Yong-Qin YQ Qin Zuo-An ZA Guo Zi-Wei ZW Li Bo B Yu Hai-Yan HY Chen Rui-Xue RX Tang Ying-Qian YQ Hu Ke-Jin KJ Guan Cheng-Jing CJ Yan Rui R
BMJ open 20220208 2
<h4>Objectives</h4>The aim of our study was to investigate the association between serum albumin concentration and the risk of cardiac arrest in critically ill patients with end-stage renal disease in the intensive care unit (ICU).<h4>Design</h4>This was a secondary analysis.<h4>Setting</h4>The Phillip electronic-ICU collaborative database from 2014 to 2015.<h4>Participants</h4>This study included 4990 critically ill patients diagnosed with end-stage renal disease.<h4>Primary and secondary outco ...[more]