The prognostic value of the lactate/albumin ratio for predicting mortality in septic patients presenting to the emergency department: a prospective study

CONCLUSIONS: The L/A ratio is a better predictor of in-patient mortality than lactate in sepsis patients. This superiority was not found in the septic shock subgroup. Our results encourage the use of the ratio early in the ED as a superior prognostic tool in sepsis patients.Key messagesWe aimed to assess the prognostic usefulness of the Lactate/Albumin ratio compared to lactate alone in septic and septic shock patients.The L/A ratio proved to be a better predictor of in-patient mortality than lactate alone in sepsis patients. This pattern also applies across various subgroups in our study (malignancy, diabetics, age above 65, lactate level less than 2 mmol/L, albumin less than 30 g/L). Our results favour the use of the L/A ratio over lactate alone in patients with sepsis and the previously mentioned subgroups.Our results do not favour the use of the ratio instead of lactate in septic shock patients as there was no statistically significant difference between the AUCs of the ratio and lactate alone.PMID:34854770 | DOI:10.1080/07853890.2021.2009125

Source: Annals of Medicine - December 2, 2021 Category: Internal Medicine Authors: Ralphe Bou Chebl Mirabelle Geha Mohamad Assaf Nadim Kattouf Saadeddine Haidar Karim Abdeldaem Nour Halawi Mohamed Khamis Maha Makki Hani Tamim Gilbert Abou Dagher Source Type: research