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Associations Between Albumin-Corrected Anion Gap and Mortality in Heart Failure Patients with Chronic Obstructive Pulmonary Disease: A Retrospective Cohort Study - PubMed

3 hours ago
  • #chronic obstructive pulmonary disease
  • #albumin-corrected anion gap
  • #heart failure
  • The study examined the association between albumin-corrected anion gap (ACAG) and mortality in heart failure patients with chronic obstructive pulmonary disease (COPD) using a retrospective cohort from the MIMIC-IV database.
  • Higher ACAG levels were significantly linked to increased in-hospital and 30-day mortality, with the highest ACAG group showing hazard ratios of 2.04 and 1.83, respectively, compared to the lowest group.
  • ACAG demonstrated superior predictive ability for mortality compared to anion gap and albumin alone, as shown by ROC analysis with an AUC of 0.693 for in-hospital mortality.
  • The findings suggest ACAG is a potential prognostic predictor for risk stratification in this patient population, though further prospective studies are needed to confirm the results.