Frontiers in Cardiovascular Medicine (Sep 2023)

Association between admission-blood-glucose-to-albumin ratio and clinical outcomes in patients with ST-elevation myocardial infarction undergoing percutaneous coronary intervention

  • Cien Zhen,
  • Cien Zhen,
  • Cien Zhen,
  • Wei Chen,
  • Weikun Chen,
  • Weikun Chen,
  • Hualin Fan,
  • Hualin Fan,
  • Hualin Fan,
  • Zijing Lin,
  • Zijing Lin,
  • Zijing Lin,
  • Lihuan Zeng,
  • Zehuo Lin,
  • Zehuo Lin,
  • Zehuo Lin,
  • Weibin He,
  • Weibin He,
  • Yu Li,
  • Yu Li,
  • Yu Li,
  • Shimin Peng,
  • Shimin Peng,
  • Lin Zeng,
  • Lin Zeng,
  • Chongyang Duan,
  • Ning Tan,
  • Ning Tan,
  • Yuanhui Liu,
  • Yuanhui Liu,
  • Yuanhui Liu,
  • Pengcheng He,
  • Pengcheng He,
  • Pengcheng He

DOI
https://doi.org/10.3389/fcvm.2023.1132685
Journal volume & issue
Vol. 10

Abstract

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IntroductionIt is unclear whether admission-blood-glucose-to-albumin ratio (AAR) predicts adverse clinical outcomes in patients with ST-segment elevation myocardial infarction (STEMI) who are treated with percutaneous coronary intervention (PCI). Here, we performed a observational study to explore the predictive value of AAR on clinical outcomes.MethodsPatients diagnosed with STEMI who underwent PCI between January 2010 and February 2020 were enrolled in the study. The patients were classified into three groups according to AAR tertile. The primary outcome was in-hospital all-cause mortality, and the secondary outcomes were in-hospital major adverse cardiac events (MACEs), as well as all-cause mortality and MACEs during follow-up. Logistic regression, Kaplan–Meier analysis, and Cox proportional hazard regression were the primary analyses used to estimate outcomes.ResultsAmong the 3,224 enrolled patients, there were 130 cases of in-hospital all-cause mortality (3.9%) and 181 patients (5.4%) experienced MACEs. After adjustment for covariates, multivariate analysis demonstrated that an increase in AAR was associated with an increased risk of in-hospital all-cause mortality [adjusted odds ratio (OR): 2.72, 95% CI: 1.47–5.03, P = 0.001] and MACEs (adjusted OR: 1.91, 95% CI: 1.18–3.10, P = 0.009), as well as long-term all-cause mortality [adjusted hazard ratio (HR): 1.64, 95% CI: 1.19–2.28, P = 0.003] and MACEs (adjusted HR: 1.58, 95% CI: 1.16–2.14, P = 0.003). Receiver operating characteristic (ROC) curve analysis indicated that AAR was an accurate predictor of in-hospital all-cause mortality (AUC = 0.718, 95% CI: 0.675–0.761) and MACEs (AUC = 0.672, 95% CI: 0.631–0.712).DiscussionAAR is a novel and convenient independent predictor of all-cause mortality and MACEs, both in-hospital and long-term, for STEMI patients receiving PCI.

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