Association between albumin infusion and sepsis risk of patients with acute pancreatitis.

<h4>Objective</h4>To investigate whether early administration of serum albumin infusion in the acute pancreatitis (AP) patients admitted to the intensive care unit (ICU) reduces the risk of sepsis.<h4>Methods</h4>Data were collected from the Medical Information Mart for Inten...

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Main Authors: Xuan Zhou, Bangyan Jiang, Ningjing You, Xinfeng Qian, Dong Han, Wei Sun
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0314738
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author Xuan Zhou
Bangyan Jiang
Ningjing You
Xinfeng Qian
Dong Han
Wei Sun
author_facet Xuan Zhou
Bangyan Jiang
Ningjing You
Xinfeng Qian
Dong Han
Wei Sun
author_sort Xuan Zhou
collection DOAJ
description <h4>Objective</h4>To investigate whether early administration of serum albumin infusion in the acute pancreatitis (AP) patients admitted to the intensive care unit (ICU) reduces the risk of sepsis.<h4>Methods</h4>Data were collected from the Medical Information Mart for Intensive Care III and IV databases for this retrospective cohort study. The primary outcome was the occurrence of sepsis in AP patients. We used univariate and multivariate logistic regression models to evaluate the association between albumin infusion and sepsis risk of AP patients. Additional subgroup analysis by stratification to serum albumin were also performed.<h4>Results</h4>The study included 779 patients with AP. They were divided into a sepsis group (83 patients) and a non-sepsis group (696 patients) according to whether they developed sepsis, and the prevalence of sepsis was approximately 10.65%. Multivariate logistic regression model indicated that albumin infusion was associated with decreased risk of sepsis in the AP patients [adjusted odds ratio (OR)=0.37, 95% confidence interval (CI)=0.13-0.88]. Subgroup analysis showed a negative association between the albumin infusion and sepsis risk in the AP patients with serum albumin ≤ 3.5g/L (adjusted OR=0.29, 95%CI = 0.08-0.77).<h4>Conclusion</h4>In this study, we found an association between albumin administration and a lower risk of sepsis in AP patients, which persisted after multivariate adjustment. This suggests that albumin infusion may have unique potential benefits for this population.
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spelling doaj-art-4cd6ebccfe0844abab9042fff38dee6a2025-08-23T05:32:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01208e031473810.1371/journal.pone.0314738Association between albumin infusion and sepsis risk of patients with acute pancreatitis.Xuan ZhouBangyan JiangNingjing YouXinfeng QianDong HanWei Sun<h4>Objective</h4>To investigate whether early administration of serum albumin infusion in the acute pancreatitis (AP) patients admitted to the intensive care unit (ICU) reduces the risk of sepsis.<h4>Methods</h4>Data were collected from the Medical Information Mart for Intensive Care III and IV databases for this retrospective cohort study. The primary outcome was the occurrence of sepsis in AP patients. We used univariate and multivariate logistic regression models to evaluate the association between albumin infusion and sepsis risk of AP patients. Additional subgroup analysis by stratification to serum albumin were also performed.<h4>Results</h4>The study included 779 patients with AP. They were divided into a sepsis group (83 patients) and a non-sepsis group (696 patients) according to whether they developed sepsis, and the prevalence of sepsis was approximately 10.65%. Multivariate logistic regression model indicated that albumin infusion was associated with decreased risk of sepsis in the AP patients [adjusted odds ratio (OR)=0.37, 95% confidence interval (CI)=0.13-0.88]. Subgroup analysis showed a negative association between the albumin infusion and sepsis risk in the AP patients with serum albumin ≤ 3.5g/L (adjusted OR=0.29, 95%CI = 0.08-0.77).<h4>Conclusion</h4>In this study, we found an association between albumin administration and a lower risk of sepsis in AP patients, which persisted after multivariate adjustment. This suggests that albumin infusion may have unique potential benefits for this population.https://doi.org/10.1371/journal.pone.0314738
spellingShingle Xuan Zhou
Bangyan Jiang
Ningjing You
Xinfeng Qian
Dong Han
Wei Sun
Association between albumin infusion and sepsis risk of patients with acute pancreatitis.
PLoS ONE
title Association between albumin infusion and sepsis risk of patients with acute pancreatitis.
title_full Association between albumin infusion and sepsis risk of patients with acute pancreatitis.
title_fullStr Association between albumin infusion and sepsis risk of patients with acute pancreatitis.
title_full_unstemmed Association between albumin infusion and sepsis risk of patients with acute pancreatitis.
title_short Association between albumin infusion and sepsis risk of patients with acute pancreatitis.
title_sort association between albumin infusion and sepsis risk of patients with acute pancreatitis
url https://doi.org/10.1371/journal.pone.0314738
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