Logo

American Heart Association

  2
  0


Final ID: MDP1660

The Impacts of Albumin Levels on Clinical Outcomes in Patients in the Coronary Care Unit

Abstract Body (Do not enter title and authors here): Background: Hypoalbuminemia is frequently observed in critically ill patients, yet its significance regarding short-term mortality among these patients remains uncertain. We aimed to investigate the impact of albumin levels and their changes on clinical outcomes among patients who were admitted to intensive care units due to cardiac causes.
Methods: This is a retrospective, single-center, cohort study. Consecutive patients admitted to coronary care unit (CCU) were enrolled between January 2011 and December 2020. Serum albumin levels were obtained upon CCU admission and tracked for changes. Clinical outcomes were defined as 30-day mortality.
Results: A total of 4,004 patients were enrolled. Among them, 1,129 (28.2%) had acute coronary syndrome, 1,915 (47.8%) had coronary artery disease, 1,039 (25.9%) had arrhythmia, and 1,825 (45.6%) had heart failure. There were 643 deaths and 3,361 survivors within 30 days. When comparing to survivors, those who died within 30 days had lower initial albumin levels (3.2 ± 0.9 vs. 3.4 ± 0.8, P < 0.001) and albumin level reduction (-0.1 ± 0.9 vs. 0.0 ± 0.9, P = 0.005). Cox regression multivariate analysis indicated that higher initial albumin levels (HR, 0.638; 95% CI, 0.538 – 0.756, P < 0.001) and increase in albumin levels (HR, 0.638; 95% CI, 0.541 – 0.752, P < 0.001) were independently associated with lower 30-day mortality rates.
Conclusions: Higher initial albumin levels and increase in albumin levels were linked to better clinical outcomes in patients admitted to CCU.
  • Lu, Yuyu  ( Taipei Veterans General Hospital , Taipei , Taiwan )
  • Huang, Chin-chou  ( Taipei Veterans General Hospital , Taipei , Taiwan )
  • Author Disclosures:
    YUYU LU: DO NOT have relevant financial relationships | Chin-Chou Huang: DO NOT have relevant financial relationships
Meeting Info:

Scientific Sessions 2024

2024

Chicago, Illinois

Session Info:

The Fortune Teller Will See You Now... Prognostication in the CICU

Monday, 11/18/2024 , 12:50PM - 02:15PM

Moderated Digital Poster Session

More abstracts on this topic:
Artificial Intelligence-estimated Probability of Aortic Stenosis Is an Independent Predictor of Major Adverse Cardiac Events in Patients with Carotid Artery Disease After Carotid Endarterectomy

Mahmoudi Hamidabad Negin, Kalina Samuel, Nogami Kai, Lerman Lilach, Nardi Valentina, Lerman Amir

Aggressive LDL cholesterol lowering post ACS with triple combination therapy: Insights from the multicentric LAI-REACT study

Puri Raman, Mahajan Kunal, Agarwala Rajeev, Gupta Ashu, Batra Aditya, Khan Aziz, Vijan Vinod, Sharma Jai Bharat, Himral Surender

You have to be authorized to contact abstract author. Please, Login
Not Available