Evidence map›Paper›PMID 32361882›Full record

ArticleIrish journal of medical science2020

Predictive value of CRP/albumin ratio in major abdominal surgery.

Noel E Donlon, Helen Mohan, Ross Free, Badr Elbaghir, Igor Soric, Christina Fleming, Ischwaria Balasubramanian, Ivan Ivanovski, Karl Schmidt, Ken Mealy

Abstract read
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In one paragraph

Article in Irish journal of medical science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.6field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. Article
  3. C-reactive Protein/Albumin Ratio as a Predictive Inflammatory Marker for Postoperative Systemic Inflammatory Response Syndrome and/or Sepsis in Polytraumatized Patients in ICU.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
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  12. The role of biomarkers in predicting perforated cholecystitis cases: Can the c-reactive protein albumin ratio be a guide?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Noel E DonlonWexford General Hospital, Co. Wexford, Ireland. donlonn@tcd.ie.
Helen MohanWexford General Hospital, Co. Wexford, Ireland.
Ross FreeWexford General Hospital, Co. Wexford, Ireland.
Badr ElbaghirWexford General Hospital, Co. Wexford, Ireland.
Igor SoricWexford General Hospital, Co. Wexford, Ireland.
Christina FlemingWexford General Hospital, Co. Wexford, Ireland.
Ischwaria BalasubramanianWexford General Hospital, Co. Wexford, Ireland.
Ivan IvanovskiWexford General Hospital, Co. Wexford, Ireland.
Karl SchmidtWexford General Hospital, Co. Wexford, Ireland.
Ken MealyWexford General Hospital, Co. Wexford, Ireland.
Wexford General Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgical site infection (SSI) is a major cause of morbidity, resulting in significant healthcare and economic implications. The ability to predict patients at high risk of SSI may enable targeted follow-up and management. This study sought to examine the relationship between the CRP/albumin ratio in the prediction of SSI in patients undergoing emergency major abdominal surgery.

methodsA retrospective study of all patients who underwent emergency major abdominal surgery in our institution over 2 years was performed. Patients were identified from a prospectively maintained database of SSI's and cross-referenced with hospital records. Patient demographics including age, gender, ASA grade, and wound classification (clean, clean/contaminated, contaminated, and dirty) were collated.

resultsCRP preoperatively of greater than 5 was statistically significant in predicting an SSI (P < 0.05). In addition, preoperative serum albumin of < 32 was also significant in predicting a superficial site infection. Interestingly, preoperative CRP/albumin ratio did not predict SSI, but postoperative CRP/albumin ratio was predictive at both 24 and 48 hour time points (P < 0.05). Median length of stay in the SSI group was statistically significantly longer at 27.88 days (range 7-76) versus 18.32 days (1-56) (P < 0.01).

conclusionsThough CRP and albumin have merit in isolation in preoperative identification of patients at risk of SSI, CRP/albumin ratio is a useful postoperatively adjunct in predicting SSI postoperatively at 24 and 48hrs postoperatively.

Indexed as

AbdomenAgedAlbuminsC-Reactive ProteinFemaleHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesSurgical Wound InfectionAlbuminsC-Reactive ProteinAlbuminCRPLaparotomyMajor abdominal surgerySurgical site infection

Identifiers

PMID32361882
OpenAlexW3023477753

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.