{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:48:27Z","timestamp":1782521307282,"version":"3.54.5"},"reference-count":36,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journalofsurgicalresearch.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Research"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.jss.2026.03.108","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T09:53:44Z","timestamp":1777024424000},"page":"476-485","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Postoperative Blood Urea Nitrogen\u2013to\u2013Albumin Ratio Predicts 90-Day Mortality Following Burn Surgery"],"prefix":"10.1016","volume":"322","author":[{"given":"Jihion","family":"Yu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hee Yeong","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In Suk","family":"Kwak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun-Young","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung Inn","family":"Cho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chan-Sik","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6253-9509","authenticated-orcid":false,"given":"Young Joo","family":"Seo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1982-3053","authenticated-orcid":false,"given":"Young-Kug","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jss.2026.03.108_bib1","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1038\/s41572-020-0145-5","article-title":"Burn injury","volume":"6","author":"Jeschke","year":"2020","journal-title":"Nat Rev Dis Primers"},{"key":"10.1016\/j.jss.2026.03.108_bib2","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1097\/CCM.0000000000000790","article-title":"Morbidity and survival probability in burn patients in modern burn care","volume":"43","author":"Jeschke","year":"2015","journal-title":"Crit Care Med"},{"key":"10.1016\/j.jss.2026.03.108_bib3","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1093\/jbcr\/irad075","article-title":"The revised baux Score as a predictor of burn mortality: a systematic review and meta-analysis","volume":"44","author":"Edgar","year":"2023","journal-title":"J Burn Care Res"},{"key":"10.1016\/j.jss.2026.03.108_bib4","doi-asserted-by":"crossref","DOI":"10.1093\/burnst\/tkab050","article-title":"Red cell distribution width\/albumin ratio and 90-day mortality after burn surgery","volume":"10","author":"Seo","year":"2022","journal-title":"Burns Trauma"},{"key":"10.1016\/j.jss.2026.03.108_bib5","doi-asserted-by":"crossref","first-page":"1865","DOI":"10.1016\/j.burns.2021.02.001","article-title":"De Ritis ratio as a predictor of 1-year mortality after burn surgery","volume":"47","author":"Yu","year":"2021","journal-title":"Burns"},{"key":"10.1016\/j.jss.2026.03.108_bib6","doi-asserted-by":"crossref","DOI":"10.1093\/burnst\/tkaa043","article-title":"The prognostic nutritional index on postoperative day one is associated with one-year mortality after burn surgery in elderly patients","volume":"9","author":"Seo","year":"2021","journal-title":"Burns Trauma"},{"key":"10.1016\/j.jss.2026.03.108_bib7","doi-asserted-by":"crossref","first-page":"3015","DOI":"10.1007\/s11845-024-03772-9","article-title":"Acute kidney injury and COVID-19: the predictive power of BUN\/albumin ratio for renal replacement therapy requirement","volume":"193","author":"Acehan","year":"2024","journal-title":"Ir J Med Sci"},{"key":"10.1016\/j.jss.2026.03.108_bib8","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1186\/s12871-023-02212-y","article-title":"Association between early blood urea nitrogen-to-albumin ratio and one-year post-hospital mortality in critically ill surgical patients: a propensity score-matched study","volume":"23","author":"Nguyen","year":"2023","journal-title":"BMC Anesthesiol"},{"key":"10.1016\/j.jss.2026.03.108_bib9","article-title":"Prognostic impact of blood urea nitrogen to albumin ratio on patients with sepsis: a retrospective cohort study","volume":"13","author":"Wang","year":"2023","journal-title":"Sci Rep"},{"key":"10.1016\/j.jss.2026.03.108_bib10","doi-asserted-by":"crossref","first-page":"349","DOI":"10.2147\/COPD.S503228","article-title":"Association between blood urea nitrogen to serum albumin ratio and mortality in critically ill patients with chronic obstructive pulmonary disease: a retrospective Study","volume":"20","author":"Li","year":"2025","journal-title":"Int J Chron Obstruct Pulmon Dis"},{"key":"10.1016\/j.jss.2026.03.108_bib11","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.ajem.2020.02.045","article-title":"Utility of the blood urea nitrogen to serum albumin ratio as a prognostic factor of mortality in aspiration pneumonia patients","volume":"43","author":"Ryu","year":"2021","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jss.2026.03.108_bib12","article-title":"Blood urea nitrogen to albumin ratio as a predictive factor for pneumonia: a meta-analysis","volume":"81","author":"Milas","year":"2022","journal-title":"Respir Med Res"},{"key":"10.1016\/j.jss.2026.03.108_bib13","doi-asserted-by":"crossref","first-page":"1934","DOI":"10.1038\/s41440-024-01673-z","article-title":"Preoperative blood urea nitrogen-to-serum albumin ratio for prediction of in-hospital mortality in patients who underwent emergency surgery for acute type A aortic dissection","volume":"47","author":"Wu","year":"2024","journal-title":"Hypertens Res"},{"key":"10.1016\/j.jss.2026.03.108_bib14","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2022.888736","article-title":"Elevated blood urea nitrogen to serum albumin ratio is an adverse prognostic predictor for patients undergoing cardiac surgery","volume":"9","author":"Ye","year":"2022","journal-title":"Front Cardiovasc Med"},{"key":"10.1016\/j.jss.2026.03.108_bib15","doi-asserted-by":"crossref","DOI":"10.1016\/j.burns.2025.107533","article-title":"Postoperative acute kidney injury and risk factors for major adverse kidney events within 30 days of burn surgery","volume":"51","author":"Yu","year":"2025","journal-title":"Burns"},{"key":"10.1016\/j.jss.2026.03.108_bib16","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.1016\/j.burns.2017.11.013","article-title":"The diagnosis and management of inhalation injury: an evidence based approach","volume":"44","author":"Deutsch","year":"2018","journal-title":"Burns"},{"key":"10.1016\/j.jss.2026.03.108_bib17","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1001\/jama.2016.0287","article-title":"The third international consensus definitions for sepsis and septic shock (Sepsis-3)","volume":"315","author":"Singer","year":"2016","journal-title":"JAMA"},{"key":"10.1016\/j.jss.2026.03.108_bib18","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1016\/j.bja.2018.02.007","article-title":"A systematic review and consensus definitions for standardised end-points in perioperative medicine: pulmonary complications","volume":"120","author":"Abbott","year":"2018","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.jss.2026.03.108_bib19","doi-asserted-by":"crossref","DOI":"10.1159\/000339789","article-title":"KDIGO clinical practice guidelines for acute kidney injury","volume":"120","author":"Khwaja","year":"2012","journal-title":"Nephron Clin Pract"},{"key":"10.1016\/j.jss.2026.03.108_bib20","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1186\/s40001-023-01268-3","article-title":"Tracking longitudinal biomarkers in burn patients with sepsis and acute kidney injury: an unsupervised clustering approach","volume":"28","author":"Kim","year":"2023","journal-title":"Eur J Med Res"},{"key":"10.1016\/j.jss.2026.03.108_bib21","doi-asserted-by":"crossref","first-page":"7466","DOI":"10.1038\/s41598-024-58090-y","article-title":"Blood urea nitrogen to serum albumin ratio: a novel mortality indicator in intensive care unit patients with coronary heart disease","volume":"14","author":"Zhang","year":"2024","journal-title":"Sci Rep"},{"key":"10.1016\/j.jss.2026.03.108_bib22","doi-asserted-by":"crossref","first-page":"1643","DOI":"10.1016\/j.amjcard.2008.01.047","article-title":"Relation of blood urea nitrogen to long-term mortality in patients with heart failure","volume":"101","author":"Cauthen","year":"2008","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jss.2026.03.108_bib23","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/j.ajem.2021.03.081","article-title":"Comparison of IVC diameter ratio, BUN\/creatinine ratio and BUN\/albumin ratio for risk prediction in emergency department patients","volume":"47","author":"Bae","year":"2021","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jss.2026.03.108_bib24","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.7326\/0003-4819-65-6-1287","article-title":"Creatininemia versus uremia. The relative significance of blood urea nitrogen and serum creatinine concentrations in azotemia","volume":"65","author":"Dossetor","year":"1966","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.jss.2026.03.108_bib25","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1002\/jpen.1451","article-title":"Hypoalbuminemia: pathogenesis and clinical significance","volume":"43","author":"Soeters","year":"2019","journal-title":"JPEN J Parenter Enteral Nutr"},{"issue":"Suppl 3","key":"10.1016\/j.jss.2026.03.108_bib26","article-title":"Hypoalbuminemia","volume":"7","author":"Gatta","year":"2012","journal-title":"Intern Emerg Med"},{"key":"10.1016\/j.jss.2026.03.108_bib27","doi-asserted-by":"crossref","DOI":"10.1016\/j.intimp.2024.113600","article-title":"Blood urea nitrogen to albumin ratio predicts risk of acute kidney injury and in-hospital mortality associated with immunological and surgical diseases: a retrospective analysis of 1994 patients","volume":"143","author":"Chen","year":"2024","journal-title":"Int Immunopharmacol"},{"key":"10.1016\/j.jss.2026.03.108_bib28","article-title":"The association between blood urea nitrogen to albumin ratio and the 28 day mortality in tuberculosis patients complicated by sepsis","volume":"14","author":"Cui","year":"2024","journal-title":"Sci Rep"},{"key":"10.1016\/j.jss.2026.03.108_bib29","doi-asserted-by":"crossref","first-page":"965","DOI":"10.2147\/IJGM.S348383","article-title":"Blood urea nitrogen to serum albumin ratio in the prediction of acute kidney injury of patients with rib fracture in intensive care unit","volume":"15","author":"He","year":"2022","journal-title":"Int J Gen Med"},{"key":"10.1016\/j.jss.2026.03.108_bib30","doi-asserted-by":"crossref","first-page":"2512","DOI":"10.1016\/j.jfma.2022.05.012","article-title":"The relationships between routine admission blood tests and burn size, and length of stay in intensive care unit","volume":"121","author":"Yeong","year":"2022","journal-title":"J Formos Med Assoc"},{"key":"10.1016\/j.jss.2026.03.108_bib31","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1093\/jbcr\/irz065","article-title":"Predictive biomarkers for Acute kidney Injury in burn patients","volume":"40","author":"Emami","year":"2019","journal-title":"J Burn Care Res"},{"key":"10.1016\/j.jss.2026.03.108_bib32","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1159\/000066299","article-title":"Impact of burn size and initial serum albumin level on acute renal failure occurring in major burn","volume":"23","author":"Kim","year":"2003","journal-title":"Am J Nephrol"},{"key":"10.1016\/j.jss.2026.03.108_bib33","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1016\/j.burns.2019.09.013","article-title":"Early hypoalbuminemia is associated with 28-day mortality in severely burned patients: a retrospective cohort study","volume":"46","author":"de Tymowski","year":"2020","journal-title":"Burns"},{"key":"10.1016\/j.jss.2026.03.108_bib34","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.burns.2012.05.008","article-title":"Hypoalbuminemia in the first 24h of admission is associated with organ dysfunction in burned patients","volume":"39","author":"Eljaiek","year":"2013","journal-title":"Burns"},{"key":"10.1016\/j.jss.2026.03.108_bib35","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1186\/s12890-022-02258-7","article-title":"Blood urea nitrogen to serum albumin ratio: a good predictor of in-hospital and 90-day all-cause mortality in patients with acute exacerbations of chronic obstructive pulmonary disease","volume":"22","author":"Zeng","year":"2022","journal-title":"BMC Pulm Med"},{"key":"10.1016\/j.jss.2026.03.108_bib36","doi-asserted-by":"crossref","first-page":"626","DOI":"10.5005\/jp-journals-10071-24150","article-title":"Blood urea Nitrogen\/Albumin ratio and mortality risk in patients with COVID-19","volume":"26","author":"Singh","year":"2022","journal-title":"Indian J Crit Care Med"}],"container-title":["Journal of Surgical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480426002222?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480426002222?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:38:34Z","timestamp":1782520714000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022480426002222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":36,"alternative-id":["S0022480426002222"],"URL":"https:\/\/doi.org\/10.1016\/j.jss.2026.03.108","relation":{},"ISSN":["0022-4804"],"issn-type":[{"value":"0022-4804","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Postoperative Blood Urea Nitrogen\u2013to\u2013Albumin Ratio Predicts 90-Day Mortality Following Burn Surgery","name":"articletitle","label":"Article Title"},{"value":"Journal of Surgical Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jss.2026.03.108","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}