The predictive value of high-sensitivity C-reactive protein to albumin ratio for pulmonary infection in elderly stroke patients
10.3969/j.issn.1673-4130.2025.16.007
- VernacularTitle:超敏C反应蛋白与白蛋白比值对老年脑卒中患者并发肺部感染的预测价值
- Author:
Tong WU
1
;
Huici WANG
;
Huan WANG
Author Information
1. 邢台市人民医院检验科,河北邢台 054000
- Keywords:
elderly stroke;
pulmonary infection;
high sensitivity C-reactive protein to albumin ratio
- From:
International Journal of Laboratory Medicine
2025;46(16):1959-1963
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the predictive value of high sensitivity C-reactive protein(hs-CRP)to albumin(ALB)ratio(hs-CRP/ALB)for pulmonary infection in elderly stroke patients.Methods A total of 128 elderly stroke patients admitted to the hospital from February 2021 to February 2023 were selected as the study group,and were divided into the infection group(n=48)and the non-infection group(n=80)according to the pulmonary infection.Another 130 healthy subjects undergoing physical examination were selected as the control group at the same time.The general data of all subjects were collected,and the levels of hs-CRP and ALB in peripheral blood were detected within 24 h after admission,and hs-CRP/ALB was calculated.The gen-eral data and biochemical indicators of each group were analyzed and compared.Receiver operating characteris-tic(ROC)curve was used to evaluate the predictive value of hs-CRP/ALB for pulmonary infection in elderly stroke patients.Binary Logistic stepwise regression analysis was used to explore the influencing factors of pul-monary infection.Results The level of hs-CRP and hs-CRP/ALB in the study group were significantly higher than those in the control group(P＜0.05),and the level of ALB was significantly lower than that in the con-trol group(P＜0.05).The infection group had significantly higher level of hs-CRP and hs-CRP/ALB and a significantly lower level of ALB than the non-infection group(P＜0.05).The ROC curve showed that the are-a under curve(AUC)and 95％CI of peripheral blood hs-CRP and ALB for predicting pulmonary infection in elderly stroke patients was 0.830(0.780-0.880)and 0.860(0.810-0.910),respectively.The AUC(95％CI)of hs-CRP/ALB for predicting pulmonary infection in elderly stroke patients was 0.912(0.862-0.962).Binary Logistic stepwise regression analysis showed that peripheral blood PCT(OR=3.781,95％CI:2.019-7.079),hs-CRP(OR=2.423,95％CI:1.631-3.600),ALB(OR=2.596,95％CI:1.703-3.957)and hs-CRP/ALB(OR=3.564,95％CI:2.158-5.887)were the risk factors for the occurrence of pulmonary infection in elderly stroke patients(P＜0.05).Conclusion The level of hs-CRP/ALB in peripheral blood is in-creased in elderly stroke patients,and is closely related to the occurrence of pulmonary infection.hs-CRP/ALB can be used as an effective biological index to predict pulmonary infection in elderly stroke patients.
