Serum glucose–potassium ratio predicts inhospital mortality in patients admitted to coronary care unit
       
Yazarlar (10)
Fulya Avcı Demir İstinye Üniversitesi, Türkiye
İbrahim Ersoy Kepez State Hospital, Türkiye
Ahmet Seyda Yılmaz Recep Tayyip Erdogan University, Türkiye
Gökay Taylan Trakya Üniversitesi, Türkiye
Emin Erdem Kaya Dr. Ersin Arslan Training And Research Hospital, Türkiye
Ertan Aydın Giresun Üniversitesi, Türkiye
Dr. Öğr. Üyesi Muammer KARAKAYALI Kafkas Üniversitesi, Türkiye
Muhammed Mürsel Öğütveren Recep Tayyip Erdogan University, Türkiye
Aybike Taşdelen Acar Cardiology Institute, Türkiye
Şıho Hidayet Inönü Üniversitesi Tip Fakültesi, Türkiye
Makale Türü Açık Erişim Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı Revista Da Associacao Medica Brasileira (Q2)
Dergi ISSN 0104-4230 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce Basım Tarihi 10-2024
Cilt / Sayı / Sayfa 70 / 10 / – DOI 10.1590/1806-9282.20240508
Makale Linki http://dx.doi.org/10.1590/1806-9282.20240508
Özet
OBJECTIVE: The aim of our study was to determine the role of serum glucose-potassium ratio in predicting inhospital mortality in coronary care unit patients. METHODS: This study used data from the MORtality in CORonary Care Units in Turkey study, a national, observational, multicenter study that included all patients admitted to coronary care units between September 1, 2022, and September 30, 2022. Statistical analyses assessed the independent predictors of mortality. Two models were created. Model 1 included age, history of heart failure, chronic kidney disease, hypertension, diabetes mellitus, and coronary artery disease. Model 2 included glucose-potassium ratio in addition to these variables. Multivariate regression and receiver operating characteristic analysis were performed to compare Model 1 and Model 2 to identify if the glucose-potassium ratio is an independent predictor of inhospital mortality. RESULTS: In a study of 3,157 patients, the mortality rate was 4.3% (n=137). Age (p=0.002), female gender (p=0.004), mean blood pressure (p<0.001), serum creatinine (p<0.001), C-reactive protein (p=0.002), white blood cell (p=0.002), and glucose-potassium ratio (p<0.001) were identified as independent predictors of mortality through multivariate regression analysis. The receiver operating characteristic analysis indicated that Model 2 had a statistically higher area under the curve than Model 1 (area under the curve 0.842 vs area under the curve 0.835; p<0.001). A statistically significant correlation was found between the inhospital mortality and glucose-potassium ratio (OR 1.015, 95%CI 1.006-1.024, p<0.001). CONCLUSION: Our study showed that the glucose-potassium ratio may be a significant predictor of inhospital mortality in coronary care unit patients.
Anahtar Kelimeler
Coronary care unit. Inhospital mortality