TY - JOUR
T1 - Mortality prediction on admission to intensive care: a comparison of microalbuminuria with acute physiology scores after 24 hours
AU - Gosling, Peter
AU - Burdney, S
AU - McGrath, L
AU - Riseboro, S
AU - Manji, Mavji
PY - 2003/1/1
Y1 - 2003/1/1
N2 - OBJECTIVE: To compare low level albumin excretion (microalbuminuria), a marker of systemic capillary permeability, with mortality, Acute Physiologic And Chronic Health Evaluation (APACHE II) score, the Simplified Acute Physiologic (SAP II) score, and their derived mortality probabilities in patients admitted to a general intensive care unit. DESIGN: Prospective observational study. SETTING: A 14-bed intensive care unit in a university teaching hospital. PATIENTS: A total of 140 consecutive patients (59 surgical, 48 medical, 22 trauma, and 11 burns). INTERVENTIONS: Urine collection within 15 mins of intensive care unit admission for assessment of microalbuminuria. MEASUREMENTS AND MAIN RESULTS: Microalbuminuria, expressed as the albumin-creatinine ratio (ACR: normal, 5.9 mg/mmol gave a sensitivity for death of 100%, specificity of 59%, positive predictive value of 25%, and negative predictive value of 100%. Mortality probability receiver operator characteristic curve areas for ACR, APACHE II, and SAP II were 0.843 (p
AB - OBJECTIVE: To compare low level albumin excretion (microalbuminuria), a marker of systemic capillary permeability, with mortality, Acute Physiologic And Chronic Health Evaluation (APACHE II) score, the Simplified Acute Physiologic (SAP II) score, and their derived mortality probabilities in patients admitted to a general intensive care unit. DESIGN: Prospective observational study. SETTING: A 14-bed intensive care unit in a university teaching hospital. PATIENTS: A total of 140 consecutive patients (59 surgical, 48 medical, 22 trauma, and 11 burns). INTERVENTIONS: Urine collection within 15 mins of intensive care unit admission for assessment of microalbuminuria. MEASUREMENTS AND MAIN RESULTS: Microalbuminuria, expressed as the albumin-creatinine ratio (ACR: normal, 5.9 mg/mmol gave a sensitivity for death of 100%, specificity of 59%, positive predictive value of 25%, and negative predictive value of 100%. Mortality probability receiver operator characteristic curve areas for ACR, APACHE II, and SAP II were 0.843 (p
UR - http://www.scopus.com/inward/record.url?scp=0037248008&partnerID=8YFLogxK
U2 - 10.1097/00003246-200301000-00016
DO - 10.1097/00003246-200301000-00016
M3 - Article
C2 - 12545001
VL - 31
SP - 98
EP - 103
JO - Critical care medicine
JF - Critical care medicine
IS - 1
ER -