{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T04:46:15Z","timestamp":1785905175428,"version":"3.56.0"},"reference-count":16,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100017594","name":"Medical Science and Technology Project of Zhejiang Province","doi-asserted-by":"publisher","award":["2025HY1368"],"award-info":[{"award-number":["2025HY1368"]}],"id":[{"id":"10.13039\/501100017594","id-type":"DOI","asserted-by":"publisher"}]}],"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":[[2026,9]]},"DOI":"10.1016\/j.jss.2026.05.059","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:37:34Z","timestamp":1782398254000},"page":"435-440","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Prognostic Utility of Creatinine-to-Albumin Ratio for Stratifying Severity in Acute Cholangitis"],"prefix":"10.1016","volume":"325","author":[{"given":"Dian","family":"Lu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunxiao","family":"Lyu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jss.2026.05.059_bib1","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1186\/s12876-023-02868-3","article-title":"Epidemiology and outcomes of choledocholithiasis and cholangitis in the United States: trends and urban-rural variations","volume":"23","author":"Li","year":"2023","journal-title":"BMC Gastroenterol"},{"key":"10.1016\/j.jss.2026.05.059_bib2","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1002\/jhbp.512","article-title":"Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholangitis (with videos)","volume":"25","author":"Kiriyama","year":"2018","journal-title":"J Hepatobiliary-Pancreatic Sci"},{"key":"10.1016\/j.jss.2026.05.059_bib3","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1007\/s00535-016-1278-x","article-title":"Procalcitonin is a useful biomarker to predict severe acute cholangitis: a single-center prospective study","volume":"52","author":"Umefune","year":"2017","journal-title":"J Gastroenterol"},{"key":"10.1016\/j.jss.2026.05.059_bib4","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.jss.2023.07.047","article-title":"The use of inflammatory markers for treatment response monitoring in acute cholangitis: a retrospective cohort study","volume":"293","author":"Belyaev","year":"2024","journal-title":"J Surg Res"},{"key":"10.1016\/j.jss.2026.05.059_bib5","first-page":"279","article-title":"Procalcitonin is a useful biomarker to predict severe acute cholangitis: a single-center prospective study","volume":"56","author":"Umemura","year":"2021","journal-title":"J Gastroenterol"},{"key":"10.1016\/j.jss.2026.05.059_bib6","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1038\/s41440-022-01077-x","article-title":"Therapeutic target and clinical impact of day-to-day blood pressure variability in hypertensive patients with covid-19","volume":"46","author":"Jagannatha","year":"2023","journal-title":"Hypertens Res"},{"key":"10.1016\/j.jss.2026.05.059_bib7","doi-asserted-by":"crossref","first-page":"1373371","DOI":"10.3389\/fimmu.2024.1373371","article-title":"Association between serum creatinine to albumin ratio and short- and long-term all-cause mortality in patients with acute pancreatitis admitted to the intensive care unit: a retrospective analysis based on the MIMIC-IV database","volume":"15","author":"Wang","year":"2024","journal-title":"Front Immunol"},{"key":"10.1016\/j.jss.2026.05.059_bib8","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.jss.2023.07.047","article-title":"The use of inflammatory markers for treatment response monitoring in acute cholangitis: a retrospective cohort study","volume":"293","author":"Belyaev","year":"2024","journal-title":"J Surg Res"},{"key":"10.1016\/j.jss.2026.05.059_bib9","doi-asserted-by":"crossref","DOI":"10.3748\/wjg.v20.i39.14450","article-title":"Red cell distribution width to platelet ratio: new and promising prognostic marker in acute pancreatitis","volume":"20","author":"\u00c7etinkaya","year":"2014","journal-title":"World J Gastroenterol WJG"},{"key":"10.1016\/j.jss.2026.05.059_bib10","doi-asserted-by":"crossref","first-page":"5449","DOI":"10.2147\/IJGM.S327123","article-title":"Prognostic value of glucose-to-lymphocyte ratio in critically ill patients with acute pancreatitis","author":"Chen","year":"2021","journal-title":"Int J Gen Med"},{"key":"10.1016\/j.jss.2026.05.059_bib11","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1016\/S1499-3872(17)60007-9","article-title":"Predictive value of C-reactive protein\/albumin ratio in acute pancreatitis","volume":"16","author":"Kaplan","year":"2017","journal-title":"Hepatobiliary Pancreat Dis Int"},{"key":"10.1016\/j.jss.2026.05.059_bib12","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1186\/s12893-020-00991-6","article-title":"Prognostic value of the creatinine-albumin ratio in acute pancreatitis debridement","volume":"20","author":"Zhao","year":"2020","journal-title":"BMC Surg"},{"key":"10.1016\/j.jss.2026.05.059_bib13","article-title":"Association between serum creatinine to albumin ratio and short-and long-term all-cause mortality in patients with acute pancreatitis admitted to the intensive care unit: a retrospective analysis based on the MIMIC-IV database","volume":"15","author":"Wang","year":"2024","journal-title":"Front Immunol"},{"key":"10.1016\/j.jss.2026.05.059_bib14","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1038\/ajg.2009.688","article-title":"High serum creatinine in acute pancreatitis: a marker for pancreatic necrosis?","volume":"105","author":"Lankisch","year":"2010","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.jss.2026.05.059_bib15","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1186\/s13613-022-01072-y","article-title":"Intravenous fluid therapy in patients with severe acute pancreatitis admitted to the intensive care unit: a narrative review","volume":"12","author":"Crosignani","year":"2022","journal-title":"Ann Intensive Care"},{"key":"10.1016\/j.jss.2026.05.059_bib16","doi-asserted-by":"crossref","DOI":"10.3389\/fimmu.2022.1076121","article-title":"Association between lactate-to-albumin ratio and 28-days all-cause mortality in patients with acute pancreatitis: a retrospective analysis of the MIMIC-IV database","volume":"13","author":"Liu","year":"2022","journal-title":"Front Immunol"}],"container-title":["Journal of Surgical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480426003513?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480426003513?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T04:01:42Z","timestamp":1785902502000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022480426003513"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":16,"alternative-id":["S0022480426003513"],"URL":"https:\/\/doi.org\/10.1016\/j.jss.2026.05.059","relation":{},"ISSN":["0022-4804"],"issn-type":[{"value":"0022-4804","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prognostic Utility of Creatinine-to-Albumin Ratio for Stratifying Severity in Acute Cholangitis","name":"articletitle","label":"Article Title"},{"value":"Journal of Surgical Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jss.2026.05.059","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"}]}}