Evidence map›Paper›PMID 34691782›Full record

ArticleEmergency medicine international2021

Utility of the Lactate/Albumin Ratio as a Predictor for Mortality in Necrotizing Fasciitis Patients.

Kiew-Kii Lau, Cheng-Ting Hsiao, Wen-Chih Fann, Chia-Peng Chang

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In one paragraph

Article in Emergency medicine international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

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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

7 citing papers in PubMed.

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  5. Observational
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  7. Machine Learning Approach to ClassifyInfection and drug resistance · 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

4 authors.

Kiew-Kii LauDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Cheng-Ting HsiaoDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Wen-Chih FannDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Chia-Peng ChangDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Chiayi, Taiwan.ORCID https://orcid.org/0000-0003-2856-3481

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe lactate/albumin (L/A) ratio has been proposed as a prognostic marker because the ratio is associated with multiple organ failure and mortality in critically ill patients. We aimed to investigate the clinical utility of the L/A ratio as a good prognostic indicator of mortality in a cohort of necrotizing fasciitis patients.

methodThis retrospective study was conducted in two tertiary hospitals in Taiwan between 2015 and 2020. We reviewed adult patients with measured serum lactate and albumin on the emergency department (ED) arrival to evaluate the prognostic performance of the lactate and lactate/albumin (L/A) ratio for outcome prediction.

resultOf the 262 NF patients, 20 (7.63%) died in the hospital. The area under the receiver operating characteristic curve (AUROC) value of the L/A ratio (0.76, 95% confidence interval [CI] 0.69-0.81,

conclusionThe prognostic performance of the L/A ratio was superior to a single measurement of lactate for predicting in-hospital mortality and intensive care unit (ICU) lengths in necrotizing fasciitis patients. Aggressive intervention and intensive care were necessary for high-risk NF patients upon ED arrival.

Identifiers

PMID34691782
PMCPMC8528631

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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.