ICU sedation, delirium & recovery

Urea to creatinine ratio as a predictor of persistent critical illness

J Crit CarePublished Retrospective cohort study

Authors' conclusion

In this single center retrospective cohort study, UCr was not found to be associated with PCI development.

Study context

Population
Patients admitted to a general mixed medical-surgical ICU, Jan 1st 2018 till Dec 31st 2022included in the analysis
Participants
2,098 patients
Exposure
Persistent critical illness (PCI) vs non-PCI patients; association of Urea to Creatinine ratio (UCr) with PCI development
Outcome
Association between UCr and PCI development
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

UCr and PCI development
  • Significant difference in UCr only on the first admission day among all patients; not found separately in surgical, trauma, or transplantation patients
  • No difference in UCr in different KDIGO stages

Observational data: associations, not effects.

Further findings

90-day mortality

P < 0.0001

1 year mortality (multivariate Cox regression)

Elevated UCr and PCI significantly associated with 1 year mortality

Baseline characteristics

PCI patients older, with higher admission prognostic scores

Original publication

Urea to creatinine ratio as a predictor of persistent critical illness. J Crit Care. Published 22 May 2024. doi:10.1016/j.jcrc.2024.154834

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