Evidence map›Paper›PMID 34921151›Full record

Trial reportScientific reports2021

Hypoalbuminemia affects one third of acute pancreatitis patients and is independently associated with severity and mortality.

Klementina Ocskay, Zsófia Vinkó, Dávid Németh, László Szabó, Judit Bajor, Szilárd Gódi, Patrícia Sarlós, László Czakó, Ferenc Izbéki, József Hamvas and 22 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 3 pooled it
7.3field-weighted citation impact, top 2% 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

55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
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  4. Usefulness of Random Forest Algorithm in Predicting Severe Acute Pancreatitis.Frontiers in cellular and infection microbiology · 2022
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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

32 authors at 12 institutions in 6 countries.

Klementina OcskayInstitute for Translational Medicine, Szentágothai Research Centre, Medical School, University of Pécs, Pécs, Hungary.
Zsófia VinkóInstitute for Translational Medicine, Szentágothai Research Centre, Medical School, University of Pécs, Pécs, Hungary.
Dávid NémethInstitute for Translational Medicine, Szentágothai Research Centre, Medical School, University of Pécs, Pécs, Hungary.
László SzabóInstitute for Translational Medicine, Szentágothai Research Centre, Medical School, University of Pécs, Pécs, Hungary.
Judit BajorDivision of Gastroenterology, First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.
Szilárd GódiDivision of Gastroenterology, First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.
Patrícia SarlósDivision of Gastroenterology, First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.
László CzakóDepartment of Medicine, University of Szeged, Szeged, Hungary.
Ferenc IzbékiSzent György University Teaching Hospital of Fejér County, Székesfehérvár, Hungary.
József HamvasPéterfy Hospital, Budapest, Hungary.
Mária PappDepartment of Internal Medicine, Division of Gastroenterology, University of Debrecen, Debrecen, Hungary.
Márta VargaDr. Réthy Pál Hospital, Békéscsaba, Hungary.
Imola TörökCounty Emergency Clinical Hospital - Gastroenterology and University of Medicine, Pharmacy, Sciences and Technology, Targu Mures, Romania.
Artautas MickeviciusVilnius University Hospital Santaros Clinics, Vilnius, Lithuania.
Ville SallinenDepartment of Transplantation and Liver Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Elena Ramirez MaldonadoGeneral Surgery, Consorci Sanitari del Garraf, Sant Pere de Ribes, Barcelona, Spain.
Shamil GaleevNorth-Western State Medical University, Saint-Petersburg, Russia.
Alexandra MikóInstitute for Translational Medicine, Szentágothai Research Centre, Medical School, University of Pécs, Pécs, Hungary.
Bálint ErőssInstitute for Translational Medicine, Szentágothai Research Centre, Medical School, University of Pécs, Pécs, Hungary.
Marcell ImreiInstitute for Translational Medicine, Szentágothai Research Centre, Medical School, University of Pécs, Pécs, Hungary.
Péter Jenő HegyiInstitute for Translational Medicine, Szentágothai Research Centre, Medical School, University of Pécs, Pécs, Hungary.
Nándor FaluhelyiDepartment of Medical Imaging, Medical School, University of Pécs, Pécs, Hungary.
Orsolya FarkasDepartment of Medical Imaging, Medical School, University of Pécs, Pécs, Hungary.
Péter KanizsaiDepartment of Emergency Medicine, Medical School, University of Pécs, Pécs, Hungary.
Attila MisetaDepartment of Laboratory Medicine, Medical School, University of Pécs, Pécs, Hungary.
Tamás NagyDepartment of Laboratory Medicine, Medical School, University of Pécs, Pécs, Hungary.
Roland HágendornFirst Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.
Zsolt MártonFirst Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.
Zsolt SzakácsInstitute for Translational Medicine, Szentágothai Research Centre, Medical School, University of Pécs, Pécs, Hungary.
Andrea SzentesiInstitute for Translational Medicine, Szentágothai Research Centre, Medical School, University of Pécs, Pécs, Hungary.
Péter HegyiInstitute for Translational Medicine, Szentágothai Research Centre, Medical School, University of Pécs, Pécs, Hungary.
Andrea PárniczkyInstitute for Translational Medicine, Szentágothai Research Centre, Medical School, University of Pécs, Pécs, Hungary. andrea.parniczky@gmail.com.
University of Pecs · HUSemmelweis University · HUUniversity of Szeged · HUConsorci Sanitari Garraf · ESFejér Megyei Szent György Egyetemi Oktató Kórház · HUHeim Pál Gyermekkórház · HUNorth-Western State Medical University named after I.I. Mechnikov · RUPéterfy Sándor Utcai Kórház-Rendelőintézet és Baleseti Központ · HUUniversitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș · ROUniversity of Debrecen · HUUniversity of Helsinki · FIVilnius University · LT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The incidence and medical costs of acute pancreatitis (AP) are on the rise, and severe cases still have a 30% mortality rate. We aimed to evaluate hypoalbuminemia as a risk factor and the prognostic value of human serum albumin in AP. Data from 2461 patients were extracted from the international, prospective, multicentre AP registry operated by the Hungarian Pancreatic Study Group. Data from patients with albumin measurement in the first 48 h (n = 1149) and anytime during hospitalization (n = 1272) were analysed. Multivariate binary logistic regression and Receiver Operator Characteristic curve analysis were used. The prevalence of hypoalbuminemia (< 35 g/L) was 19% on admission and 35.7% during hospitalization. Hypoalbuminemia dose-dependently increased the risk of severity, mortality, local complications and organ failure and is associated with longer hospital stay. The predictive value of hypoalbuminemia on admission was poor for severity and mortality. Severe hypoalbuminemia (< 25 g/L) represented an independent risk factor for severity (OR 48.761; CI 25.276-98.908) and mortality (OR 16.83; CI 8.32-35.13). Albumin loss during AP was strongly associated with severity (p < 0.001) and mortality (p = 0.002). Hypoalbuminemia represents an independent risk factor for severity and mortality in AP, and it shows a dose-dependent relationship with local complications, organ failure and length of stay.

Indexed as

HypoalbuminemiaLength of StayPancreatitisPatient AcuityAdultAgedFemaleHumansMaleMiddle AgedPrevalenceProspective Studies

Identifiers

PMID34921151
PMCPMC8683470
OpenAlexW4200533981

What OpenQuestion holds

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Registered trials

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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.