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Journals / Phoenix Medical Journal / 2026 / Cilt: 8 Sayı: 1

Predictive Role of the ALBI Score in Short- and Long-Term Mortality Among Patients Presenting to the Emergency Department With Infective Endocarditis

Acil Servise Başvuran Enfektif Endokardit Hastalarında ALBI Skorunun Kısa ve Uzun Dönem Mortaliteyi Öngörmedeki Rolü

Seda Tanyeri Üzel(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL KARTAL KOŞUYOLU YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0002-0933-9233
İsmail Balaban(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL KARTAL KOŞUYOLU YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0002-1866-349X
Pages
47–49
Publication Date
2026-03-31
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The ALBI score is a practical, independent marker based on routine laboratory data that strongly predicts both short- and long-term survival for risk stratification of IE patients in the ED.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: This study aimed to evaluate the predictive power of the Albumin–Bilirubin (ALBI) score for short-term and long-term mortality in patients presenting to the emergency department (ED) with infective endocarditis (IE).
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Key Findings & Data:Material and Method: In this retrospective study, 104 adult IE patients were included.
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Conclusion & Impact:Conclusion: The ALBI score is a practical, independent marker based on routine laboratory data that strongly predicts both short- and long-term survival for risk stratification of IE patients in the ED.
🔬Design:Diğer
📍Scope:Comprehensive Sample
⚙️Variables:Enfektif endokardit · Albumin–bilirubin (ALBI) skoru · Mortalite

Abstract

Objective: This study aimed to evaluate the predictive power of the Albumin–Bilirubin (ALBI) score for short-term and long-term mortality in patients presenting to the emergency department (ED) with infective endocarditis (IE). Material and Method: In this retrospective study, 104 adult IE patients were included. Patients were categorized into low-risk (≤ -2.6) and high-risk (> -2.6) groups based on their ALBI scores. Survival was assessed using Kaplan–Meier and multivariate Cox regression analyses. Results: The 30-day mortality rate was 24.3% in the high ALBI group compared to 2.9% in the low ALBI group ($p=0.001$). Cox regression analysis revealed that each 1-SD increase in the ALBI score was an independent predictor of long-term mortality (HR 1.77, 95% CI 1.40–2.24). Conclusion: The ALBI score is a practical, independent marker based on routine laboratory data that strongly predicts both short- and long-term survival for risk stratification of IE patients in the ED.

Özet

Amaç: Bu çalışma, acil servise başvuran enfektif endokardit (EE) hastalarında Albumin–Bilirubin (ALBI) skorunun kısa ve uzun dönem mortaliteyi öngördürücü gücünü değerlendirmeyi hedeflemiştir. Gereç ve Yöntem: Retrospektif çalışmaya 104 erişkin EE hastası dahil edilmiştir. Hastalar ALBI skoruna göre düşük (≤ -2.6) ve yüksek (> -2.6) riskli olarak iki gruba ayrılmış; sağkalım analizleri Kaplan-Meier ve Cox regresyon yöntemleriyle yapılmıştır. Bulgular: Yüksek ALBI grubunda 30 günlük mortalite %24.3 iken, düşük grupta %2.9 olarak saptanmıştır ($p=0.001$). Cox regresyon analizi, ALBI skorundaki her 1 standart sapmalık artışın uzun dönem mortalite riskini 1.77 kat artırdığını (HR 1.77) ortaya koymuştur. Sonuç: ALBI skoru, acil serviste EE hastalarının risk sınıflamasında pratik, rutin laboratuvar verilerine dayanan ve hem kısa hem uzun dönem sağkalımı güçlü şekilde öngören bağımsız bir belirteçtir.

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Cite This Article

Üzel, S. T., Balaban, İ. (2026). Predictive Role of the ALBI Score in Short- and Long-Term Mortality Among Patients Presenting to the Emergency Department With Infective Endocarditis. Phoenix Medical Journal, Cilt: 8 Sayı: 1, 47–49. https://ajindex.com/articles/1636099

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References (6)

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