{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T17:57:11Z","timestamp":1785261431093,"version":"3.55.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2022,1,25]],"date-time":"2022-01-25T00:00:00Z","timestamp":1643068800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Diagnosis of acute mesenteric ischemia (AMI) in its early stages is important for reversing ischemic damage. The CRP to albumin (CRP\/Alb) ratio has been defined as an inflammatory indicator and is associated with the severity of inflammation and mortality rates. However, the prognostic value of CRP\/Alb has not been evaluated in patients with AMI. Here, we aimed to examine the prognostic significance of CRP\/Alb and compare it with other inflammatory markers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>In this retrospective, case-control study, we included patients diagnosed with AMI at the emergency department between January 1, 2016, and December 31, 2020. In addition to demographic characteristics, lactate, D-dimer, white blood cell (WBC), CRP\/Alb, and neutrophil\/lymphocyte ratio (NLR) were recorded. Testing characteristics of CRP\/Alb in predicting in-hospital mortality were studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean age of 132 patients was 66.48 \u00b1 15.95\u00a0years and 71 (53.8%) of them were male. The cut-off value obtained using the receiver operating characteristic (ROC) curve for in-hospital mortality was a CRP\/Alb ratio of &gt;1.32 (sensitivity, 93.65%; specificity, 69.57%; +LR, 3.08; \u2212LR, .091; AUC, .782; 95% CI, .70-.85; P &lt; .0001). The comparison of ROC curves between CRP\/Alb and WBC, NLR, and lactate revealed a statistically significant difference ( P &lt; .05), whereas there was not any statistically significant difference between the ROC curves of CRP\/Alb and D-dimer ( P = .47).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>C-reactive protein\/albumin ratio is a powerful predictor of in-hospital mortality for AMI patients. It was superior to WBC, NLR, and lactate. It could be used to determine low-risk patients and help clinicians with treatment options.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348221074220","type":"journal-article","created":{"date-parts":[[2022,1,25]],"date-time":"2022-01-25T03:04:31Z","timestamp":1643079871000},"page":"1661-1667","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["The Prognostic Value of C-Reactive Protein\/Albumin Ratio in Acute Mesenteric Ischemia"],"prefix":"10.1177","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9653-7958","authenticated-orcid":false,"given":"\u0130lker","family":"Ka\u00e7er","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Aksaray University Training and Research Hospital, Aksaray, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"\u00c7a\u011flar","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Aksaray University Training and Research Hospital, Aksaray, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazire Belgin","family":"Ak\u0131ll\u0131","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Health Science, Konya Training and Research Hospital, Konya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,1,25]]},"reference":[{"key":"bibr1-00031348221074220","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-017-0150-5"},{"key":"bibr2-00031348221074220","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-004-2924-0"},{"issue":"3","key":"bibr3-00031348221074220","first-page":"217","volume":"15","author":"Aktekin A","year":"2009","journal-title":"Ulus Travma 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