Association Between the Albumin-Bilirubin (ALBI) Score and All-cause Mortality Risk in Intensive Care Unit Patients with Heart Failure
2024

ALBI Score and Mortality Risk in ICU Heart Failure Patients

Sample size: 4239 publication 10 minutes Evidence: high

Author Information

Author(s): Jiuyi Wang, Kai Wang, Guibo Feng, Xin Tian

Primary Institution: Chongqing Medical University

Hypothesis

This study sought to investigate the relationship between the ALBI score and the risk of all-cause mortality in ICU patients with heart failure.

Conclusion

The ALBI scores are independently associated with the risk of all-cause mortality in ICU patients with heart failure.

Supporting Evidence

  • Patients with higher ALBI levels exhibited an elevated risk of all-cause mortality.
  • Each incremental tertile in ALBI was linked to a 10% rise in mortality risk.
  • ALBI scores may help identify high-risk patients in the ICU.

Takeaway

The ALBI score helps doctors understand how likely it is for heart failure patients in the ICU to survive, especially if they have liver problems.

Methodology

The study analyzed data from ICU patients diagnosed with heart failure, using the MIMIC-IV database, and assessed mortality risk based on ALBI scores.

Potential Biases

Potential residual and unmeasured confounding factors may still influence the study outcomes.

Limitations

The study is retrospective, which may introduce selection and regression bias, and the generalizability of the results is uncertain.

Participant Demographics

The study included 4,239 ICU patients with heart failure, with a mean age of 71.79 years and a majority being male (57.0%).

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI 1.02–1.34

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.5334/gh.1379

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