Serum Albumin-to-Creatinine Ratio: A Novel Predictor of Pulmonary Infection in Patients with ST-Segment Elevation Myocardial Infarction Undergoing Percutaneous Coronary Intervention
Aim: In patients with ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI), a low serum albumin-to-creatinine ratio (sACR) is associated with elevated risk of poor short- and long-term outcomes. However, the relationship between sACR and pulmonary in...
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| Veröffentlicht in: | Journal of Atherosclerosis and Thrombosis 2024, pp.64717 |
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| creator | Kong, Siyu Yu, Shijie He, Weibin He, Yu Chen, Weikun Zhang, Yeshen Dai, Yining Li, Hailing Zhan, Yuling Zheng, Jiyang Yang, Xuxi He, Pengcheng Duan, Chongyang Tan, Ning Liu, Yuanhui |
| description | Aim: In patients with ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI), a low serum albumin-to-creatinine ratio (sACR) is associated with elevated risk of poor short- and long-term outcomes. However, the relationship between sACR and pulmonary infection during hospitalization in patients with STEMI undergoing PCI remains unclear.Methods: A total of 4,507 patients with STEMI undergoing PCI were enrolled and divided into three groups according to sACR tertile. The primary outcome was pulmonary infection during hospitalization, and the secondary outcome was in-hospital major adverse cardiovascular events (MACE) including stroke, in-hospital mortality, target vessel revascularization, recurrent myocardial infarction, and all-cause mortality during follow-up.Results: Overall, 522 (11.6%) patients developed pulmonary infections, and 223 (4.9%) patients developed in-hospital MACE. Cubic spline models indicated a non-linear, L-shaped relationship between sACR and pulmonary infection (P=0.039). Receiver operating characteristic curve analysis indicated that sACR had good predictive value for both pulmonary infection (area under the ROC curve [AUC]=0.73, 95% CI=0.70–0.75, P＜0.001) and in-hospital MACE (AUC=0.72, 95% CI=0.69–0.76, P＜0.001). Kaplan-Meier survival analysis indicated that higher sACR tertiles were associated with a greater cumulative survival rate (P＜0.001). Cox regression analysis identified lower sACR as an independent predictor of long-term all-cause mortality (hazard ratio [HR]=0.96, 95% CI=0.95–0.98, P＜0.001).Conclusions: A low sACR was significantly associated with elevated risk of pulmonary infection and MACE during hospitalization, as well as all-cause mortality during follow-up among patients with STEMI undergoing PCI. These findings highlighted sACR as an important prognostic marker in this patient population. |
| doi_str_mv | 10.5551/jat.64717 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11620831</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3057073696</sourcerecordid><originalsourceid>FETCH-LOGICAL-c436t-8c5d357ab1fd0bb573b29fc7583d4171c578035a543c3966dac789b516ade11f3</originalsourceid><addsrcrecordid>eNpVkc1uEzEUhUcIRH9gwQsgL2ExxY7H4wkbFEWlVCoQkXZteew7iSOPXWzPoD5Y3w8300Sw8pH9nXOvdYriHcEXjDHyaSfTRV1xwl8Up6RpcEkbTl9mTausK96cFGcx7jCmlLHZ6-Ikv9eUU3paPK4hDD1a2HbojSuTL5cBZDLOOEC_svCf0QL98CNYtAqgjUo-IN-h1WB772R4QNeuA5VBh4xDq2wBlyL6Y9IWrW_LNWz6fIEuLYxyT31_8EoGbaR9ssowee-chrDxxm3QCoIaknTgh4iWPhzGJAhjjsr0m-JVJ22Et8_neXH39fJ2-a28-Xl1vVzclKqidSobxTRlXLak07htGaftbN4pzhqqK8KJYrzBlElWUUXnda2l4s28ZaSWGgjp6HnxZcq9H9oetMrTg7TiPpg-ryS8NOL_F2e2YuNHQUg9ww0lOeHDc0LwvweISfQmKrB2-p6gmHHMaT2vM_pxQlXwMQbojnMIFk89i9yz2Pec2ff_LnYkD8Vm4GoCdjHJDRwBGZJRFvZRUo_ZLvBB7KOPhNrKIMDRv_xiw9c</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3057073696</pqid></control><display><type>article</type><title>Serum Albumin-to-Creatinine Ratio: A Novel Predictor of Pulmonary Infection in Patients with ST-Segment Elevation Myocardial Infarction Undergoing Percutaneous Coronary Intervention</title><source>J-STAGE Free</source><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Kong, Siyu ; Yu, Shijie ; He, Weibin ; He, Yu ; Chen, Weikun ; Zhang, Yeshen ; Dai, Yining ; Li, Hailing ; Zhan, Yuling ; Zheng, Jiyang ; Yang, Xuxi ; He, Pengcheng ; Duan, Chongyang ; Tan, Ning ; Liu, Yuanhui</creator><creatorcontrib>Kong, Siyu ; Yu, Shijie ; He, Weibin ; He, Yu ; Chen, Weikun ; Zhang, Yeshen ; Dai, Yining ; Li, Hailing ; Zhan, Yuling ; Zheng, Jiyang ; Yang, Xuxi ; He, Pengcheng ; Duan, Chongyang ; Tan, Ning ; Liu, Yuanhui</creatorcontrib><description>Aim: In patients with ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI), a low serum albumin-to-creatinine ratio (sACR) is associated with elevated risk of poor short- and long-term outcomes. However, the relationship between sACR and pulmonary infection during hospitalization in patients with STEMI undergoing PCI remains unclear.Methods: A total of 4,507 patients with STEMI undergoing PCI were enrolled and divided into three groups according to sACR tertile. The primary outcome was pulmonary infection during hospitalization, and the secondary outcome was in-hospital major adverse cardiovascular events (MACE) including stroke, in-hospital mortality, target vessel revascularization, recurrent myocardial infarction, and all-cause mortality during follow-up.Results: Overall, 522 (11.6%) patients developed pulmonary infections, and 223 (4.9%) patients developed in-hospital MACE. Cubic spline models indicated a non-linear, L-shaped relationship between sACR and pulmonary infection (P=0.039). Receiver operating characteristic curve analysis indicated that sACR had good predictive value for both pulmonary infection (area under the ROC curve [AUC]=0.73, 95% CI=0.70–0.75, P＜0.001) and in-hospital MACE (AUC=0.72, 95% CI=0.69–0.76, P＜0.001). Kaplan-Meier survival analysis indicated that higher sACR tertiles were associated with a greater cumulative survival rate (P＜0.001). Cox regression analysis identified lower sACR as an independent predictor of long-term all-cause mortality (hazard ratio [HR]=0.96, 95% CI=0.95–0.98, P＜0.001).Conclusions: A low sACR was significantly associated with elevated risk of pulmonary infection and MACE during hospitalization, as well as all-cause mortality during follow-up among patients with STEMI undergoing PCI. These findings highlighted sACR as an important prognostic marker in this patient population.</description><identifier>ISSN: 1340-3478</identifier><identifier>ISSN: 1880-3873</identifier><identifier>EISSN: 1880-3873</identifier><identifier>DOI: 10.5551/jat.64717</identifier><identifier>PMID: 38763733</identifier><language>eng</language><publisher>Japan: Japan Atherosclerosis Society</publisher><subject>Aged ; Biomarkers - blood ; Creatinine - blood ; Female ; Follow-Up Studies ; Hospital Mortality ; Humans ; Male ; Middle Aged ; Original ; Percutaneous coronary intervention ; Percutaneous Coronary Intervention - adverse effects ; Prognosis ; Pulmonary infection ; Retrospective Studies ; Risk Factors ; ROC Curve ; Serum Albumin - analysis ; Serum Albumin - metabolism ; Serum albumin-to-creatinine ratio ; ST Elevation Myocardial Infarction - diagnosis ; ST Elevation Myocardial Infarction - surgery ; ST-segment elevation myocardial infarction ; Survival Rate</subject><ispartof>Journal of Atherosclerosis and Thrombosis, 2024, pp.64717</ispartof><rights>This article is distributed under the terms of the latest version of CC BY-NC-SA defined by the Creative Commons Attribution License.</rights><rights>2024 Japan Atherosclerosis Society 2024</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-8c5d357ab1fd0bb573b29fc7583d4171c578035a543c3966dac789b516ade11f3</citedby><cites>FETCH-LOGICAL-c436t-8c5d357ab1fd0bb573b29fc7583d4171c578035a543c3966dac789b516ade11f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620831/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11620831/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,883,1879,27907,27908,53774,53776</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38763733$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kong, Siyu</creatorcontrib><creatorcontrib>Yu, Shijie</creatorcontrib><creatorcontrib>He, Weibin</creatorcontrib><creatorcontrib>He, Yu</creatorcontrib><creatorcontrib>Chen, Weikun</creatorcontrib><creatorcontrib>Zhang, Yeshen</creatorcontrib><creatorcontrib>Dai, Yining</creatorcontrib><creatorcontrib>Li, Hailing</creatorcontrib><creatorcontrib>Zhan, Yuling</creatorcontrib><creatorcontrib>Zheng, Jiyang</creatorcontrib><creatorcontrib>Yang, Xuxi</creatorcontrib><creatorcontrib>He, Pengcheng</creatorcontrib><creatorcontrib>Duan, Chongyang</creatorcontrib><creatorcontrib>Tan, Ning</creatorcontrib><creatorcontrib>Liu, Yuanhui</creatorcontrib><title>Serum Albumin-to-Creatinine Ratio: A Novel Predictor of Pulmonary Infection in Patients with ST-Segment Elevation Myocardial Infarction Undergoing Percutaneous Coronary Intervention</title><title>Journal of Atherosclerosis and Thrombosis</title><addtitle>JAT</addtitle><description>Aim: In patients with ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI), a low serum albumin-to-creatinine ratio (sACR) is associated with elevated risk of poor short- and long-term outcomes. However, the relationship between sACR and pulmonary infection during hospitalization in patients with STEMI undergoing PCI remains unclear.Methods: A total of 4,507 patients with STEMI undergoing PCI were enrolled and divided into three groups according to sACR tertile. The primary outcome was pulmonary infection during hospitalization, and the secondary outcome was in-hospital major adverse cardiovascular events (MACE) including stroke, in-hospital mortality, target vessel revascularization, recurrent myocardial infarction, and all-cause mortality during follow-up.Results: Overall, 522 (11.6%) patients developed pulmonary infections, and 223 (4.9%) patients developed in-hospital MACE. Cubic spline models indicated a non-linear, L-shaped relationship between sACR and pulmonary infection (P=0.039). Receiver operating characteristic curve analysis indicated that sACR had good predictive value for both pulmonary infection (area under the ROC curve [AUC]=0.73, 95% CI=0.70–0.75, P＜0.001) and in-hospital MACE (AUC=0.72, 95% CI=0.69–0.76, P＜0.001). Kaplan-Meier survival analysis indicated that higher sACR tertiles were associated with a greater cumulative survival rate (P＜0.001). Cox regression analysis identified lower sACR as an independent predictor of long-term all-cause mortality (hazard ratio [HR]=0.96, 95% CI=0.95–0.98, P＜0.001).Conclusions: A low sACR was significantly associated with elevated risk of pulmonary infection and MACE during hospitalization, as well as all-cause mortality during follow-up among patients with STEMI undergoing PCI. These findings highlighted sACR as an important prognostic marker in this patient population.</description><subject>Aged</subject><subject>Biomarkers - blood</subject><subject>Creatinine - blood</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Percutaneous coronary intervention</subject><subject>Percutaneous Coronary Intervention - adverse effects</subject><subject>Prognosis</subject><subject>Pulmonary infection</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>ROC Curve</subject><subject>Serum Albumin - analysis</subject><subject>Serum Albumin - metabolism</subject><subject>Serum albumin-to-creatinine ratio</subject><subject>ST Elevation Myocardial Infarction - diagnosis</subject><subject>ST Elevation Myocardial Infarction - surgery</subject><subject>ST-segment elevation myocardial infarction</subject><subject>Survival Rate</subject><issn>1340-3478</issn><issn>1880-3873</issn><issn>1880-3873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkc1uEzEUhUcIRH9gwQsgL2ExxY7H4wkbFEWlVCoQkXZteew7iSOPXWzPoD5Y3w8300Sw8pH9nXOvdYriHcEXjDHyaSfTRV1xwl8Up6RpcEkbTl9mTausK96cFGcx7jCmlLHZ6-Ikv9eUU3paPK4hDD1a2HbojSuTL5cBZDLOOEC_svCf0QL98CNYtAqgjUo-IN-h1WB772R4QNeuA5VBh4xDq2wBlyL6Y9IWrW_LNWz6fIEuLYxyT31_8EoGbaR9ssowee-chrDxxm3QCoIaknTgh4iWPhzGJAhjjsr0m-JVJ22Et8_neXH39fJ2-a28-Xl1vVzclKqidSobxTRlXLak07htGaftbN4pzhqqK8KJYrzBlElWUUXnda2l4s28ZaSWGgjp6HnxZcq9H9oetMrTg7TiPpg-ryS8NOL_F2e2YuNHQUg9ww0lOeHDc0LwvweISfQmKrB2-p6gmHHMaT2vM_pxQlXwMQbojnMIFk89i9yz2Pec2ff_LnYkD8Vm4GoCdjHJDRwBGZJRFvZRUo_ZLvBB7KOPhNrKIMDRv_xiw9c</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Kong, Siyu</creator><creator>Yu, Shijie</creator><creator>He, Weibin</creator><creator>He, Yu</creator><creator>Chen, Weikun</creator><creator>Zhang, Yeshen</creator><creator>Dai, Yining</creator><creator>Li, Hailing</creator><creator>Zhan, Yuling</creator><creator>Zheng, Jiyang</creator><creator>Yang, Xuxi</creator><creator>He, Pengcheng</creator><creator>Duan, Chongyang</creator><creator>Tan, Ning</creator><creator>Liu, Yuanhui</creator><general>Japan Atherosclerosis Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20241201</creationdate><title>Serum Albumin-to-Creatinine Ratio: A Novel Predictor of Pulmonary Infection in Patients with ST-Segment Elevation Myocardial Infarction Undergoing Percutaneous Coronary Intervention</title><author>Kong, Siyu ; Yu, Shijie ; He, Weibin ; He, Yu ; Chen, Weikun ; Zhang, Yeshen ; Dai, Yining ; Li, Hailing ; Zhan, Yuling ; Zheng, Jiyang ; Yang, Xuxi ; He, Pengcheng ; Duan, Chongyang ; Tan, Ning ; Liu, Yuanhui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-8c5d357ab1fd0bb573b29fc7583d4171c578035a543c3966dac789b516ade11f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Biomarkers - blood</topic><topic>Creatinine - blood</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Percutaneous coronary intervention</topic><topic>Percutaneous Coronary Intervention - adverse effects</topic><topic>Prognosis</topic><topic>Pulmonary infection</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>ROC Curve</topic><topic>Serum Albumin - analysis</topic><topic>Serum Albumin - metabolism</topic><topic>Serum albumin-to-creatinine ratio</topic><topic>ST Elevation Myocardial Infarction - diagnosis</topic><topic>ST Elevation Myocardial Infarction - surgery</topic><topic>ST-segment elevation myocardial infarction</topic><topic>Survival Rate</topic><toplevel>online_resources</toplevel><creatorcontrib>Kong, Siyu</creatorcontrib><creatorcontrib>Yu, Shijie</creatorcontrib><creatorcontrib>He, Weibin</creatorcontrib><creatorcontrib>He, Yu</creatorcontrib><creatorcontrib>Chen, Weikun</creatorcontrib><creatorcontrib>Zhang, Yeshen</creatorcontrib><creatorcontrib>Dai, Yining</creatorcontrib><creatorcontrib>Li, Hailing</creatorcontrib><creatorcontrib>Zhan, Yuling</creatorcontrib><creatorcontrib>Zheng, Jiyang</creatorcontrib><creatorcontrib>Yang, Xuxi</creatorcontrib><creatorcontrib>He, Pengcheng</creatorcontrib><creatorcontrib>Duan, Chongyang</creatorcontrib><creatorcontrib>Tan, Ning</creatorcontrib><creatorcontrib>Liu, Yuanhui</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of Atherosclerosis and Thrombosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kong, Siyu</au><au>Yu, Shijie</au><au>He, Weibin</au><au>He, Yu</au><au>Chen, Weikun</au><au>Zhang, Yeshen</au><au>Dai, Yining</au><au>Li, Hailing</au><au>Zhan, Yuling</au><au>Zheng, Jiyang</au><au>Yang, Xuxi</au><au>He, Pengcheng</au><au>Duan, Chongyang</au><au>Tan, Ning</au><au>Liu, Yuanhui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serum Albumin-to-Creatinine Ratio: A Novel Predictor of Pulmonary Infection in Patients with ST-Segment Elevation Myocardial Infarction Undergoing Percutaneous Coronary Intervention</atitle><jtitle>Journal of Atherosclerosis and Thrombosis</jtitle><addtitle>JAT</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>31</volume><issue>12</issue><spage>64717</spage><epage>1691</epage><pages>64717-1691</pages><artnum>64717</artnum><issn>1340-3478</issn><issn>1880-3873</issn><eissn>1880-3873</eissn><abstract>Aim: In patients with ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI), a low serum albumin-to-creatinine ratio (sACR) is associated with elevated risk of poor short- and long-term outcomes. However, the relationship between sACR and pulmonary infection during hospitalization in patients with STEMI undergoing PCI remains unclear.Methods: A total of 4,507 patients with STEMI undergoing PCI were enrolled and divided into three groups according to sACR tertile. The primary outcome was pulmonary infection during hospitalization, and the secondary outcome was in-hospital major adverse cardiovascular events (MACE) including stroke, in-hospital mortality, target vessel revascularization, recurrent myocardial infarction, and all-cause mortality during follow-up.Results: Overall, 522 (11.6%) patients developed pulmonary infections, and 223 (4.9%) patients developed in-hospital MACE. Cubic spline models indicated a non-linear, L-shaped relationship between sACR and pulmonary infection (P=0.039). Receiver operating characteristic curve analysis indicated that sACR had good predictive value for both pulmonary infection (area under the ROC curve [AUC]=0.73, 95% CI=0.70–0.75, P＜0.001) and in-hospital MACE (AUC=0.72, 95% CI=0.69–0.76, P＜0.001). Kaplan-Meier survival analysis indicated that higher sACR tertiles were associated with a greater cumulative survival rate (P＜0.001). Cox regression analysis identified lower sACR as an independent predictor of long-term all-cause mortality (hazard ratio [HR]=0.96, 95% CI=0.95–0.98, P＜0.001).Conclusions: A low sACR was significantly associated with elevated risk of pulmonary infection and MACE during hospitalization, as well as all-cause mortality during follow-up among patients with STEMI undergoing PCI. These findings highlighted sACR as an important prognostic marker in this patient population.</abstract><cop>Japan</cop><pub>Japan Atherosclerosis Society</pub><pmid>38763733</pmid><doi>10.5551/jat.64717</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Biomarkers - blood Creatinine - blood Female Follow-Up Studies Hospital Mortality Humans Male Middle Aged Original Percutaneous coronary intervention Percutaneous Coronary Intervention - adverse effects Prognosis Pulmonary infection Retrospective Studies Risk Factors ROC Curve Serum Albumin - analysis Serum Albumin - metabolism Serum albumin-to-creatinine ratio ST Elevation Myocardial Infarction - diagnosis ST Elevation Myocardial Infarction - surgery ST-segment elevation myocardial infarction Survival Rate |
| title | Serum Albumin-to-Creatinine Ratio: A Novel Predictor of Pulmonary Infection in Patients with ST-Segment Elevation Myocardial Infarction Undergoing Percutaneous Coronary Intervention |
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