A study on the correlation between first ⁃ day serum albumin on ICU admission and in ⁃ hospital mortality risk in patients with acute pancreatitis
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Department of Pancreas Center,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029 ,China

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R576

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    Abstract:

    Objective:To investigate the association between first-day serum albumin(ALB)levels upon intensive care unit(ICU) admission and in-hospital mortality in patients with acute pancreatitis(AP),and to explore its potential non-linear nature. Methods: This retrospective study analyzed data from 728 adult AP patients admitted to the ICU for the first time from2008 to 2019,sourced from the MIMIC - IV database. First -day ICU ALB levels and relevant clinical data were extracted. Multivariate logistic regression models were used to assess the linear relationshipbetween ALB and in - hospital mortality. Generalized additive models(GAM)and two - piecewise linear regression models were employed to explore non -linear relationships and identify inflection points. Results:After adjusting for multiple confounders,each 1 g/L increase in first - day ICU ALB was associated with a 27% reduction in in - hospital mortality risk(OR=0.73,95% CI:0.59-0.92,P=0.007). GAM analysis further revealed a significant non-linear relationship between ALB and in-hospital mortality,with an inflection point at 28 g/L. When ALB was≤28 g/L,each 1 g/L increase in ALBwas associated with a 56% significant reduction in mortality risk(OR=0.44,95%CI:0.26-0.73,P=0.001);however,no statistical significance was observed when ALB > 28 g/L. Conclusion:First-day ICU serum ALB levels in patients with AP demonstrated a significant non-linear negative association with in - hospital mortality. An ALB level of 28 g/L was identified as an important clinical inflection point for distinguishing high-risk patients. Early monitoring and attention to ALB levels are crucial for risk stratification and clinical decisionmaking in AP patients

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HUANG Dongya, HOU Chaoqun, GE Wanli, PENG Yunpeng, JIANG Kuirong, LI Qiang. A study on the correlation between first ⁃ day serum albumin on ICU admission and in ⁃ hospital mortality risk in patients with acute pancreatitis[J].,2025,45(9):1334-1341.

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  • Received:May 21,2025
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  • Online: September 11,2025
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