Association between baseline-stratified trajectory subgroups of serum albumin and outcomes in critically ill patients with early sepsis-associated acute kidney injury: a retrospective study - Summary - MDSpire

Association between baseline-stratified trajectory subgroups of serum albumin and outcomes in critically ill patients with early sepsis-associated acute kidney injury: a retrospective study

  • By

  • Qiang Gao

  • Xinwu Lai

  • Yu Tian

  • Tingting Wang

  • Xiangde Zheng

  • An Zhang

  • May 29, 2026

  • 0 min

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Objective:

To explore the association between the serum albumin trajectory following early sepsis-associated acute kidney injury (SA-AKI) and the outcomes of sepsis patients in the intensive care unit (ICU).

Key Findings:
  • Five baseline-stratified trajectory subgroups of albumin levels were identified.
  • Patients with a steady-state trajectory at 2.0 g/dL had higher mortality risks at 30, 90, 180, and 365 days compared to those at 3.0 g/dL.
  • Patients with a trajectory at >4.1 g/dL also had higher 365-day mortality risk.
  • The association between serum albumin trajectories and mortality risk interacted with age and sex.
Interpretation:

Limitations:
  • The study is retrospective and relies on data from a single database.
  • Potential confounding factors may not have been fully accounted for.
Conclusion:

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