PMID- 38401823 OWN - NLM STAT- MEDLINE DCOM- 20240402 LR - 20240402 IS - 1535-6280 (Electronic) IS - 0146-2806 (Linking) VI - 49 IP - 5 DP - 2024 May TI - The roles of C-reactive protein-albumin ratio as a novel prognostic biomarker in heart failure patients: A systematic review. PG - 102475 LID - S0146-2806(24)00114-2 [pii] LID - 10.1016/j.cpcardiol.2024.102475 [doi] AB - C-Reactive Protein (CRP)-albumin ratio (CAR) is a novel prognostic biomarker that is predicted to be a more reliable indicator than CRP or albumin alone. Therefore, this systematic review aimed to evaluate the role of CAR in predicting poor outcomes of heart failure (HF) patients. We conducted a literature search across ProQuest, PubMed, ScienceDirect, Web of Science, and Scopus. All related studies assessing CAR and reporting mortality outcomes or other adverse outcomes were assessed. A total of five studies with a total of 1821 patients were included in this review. CAR is significantly associated with all-causes in-hospital mortality and out-hospital mortality in patients with acute and chronic heart failure. CAR is associated with higher hospitalization rates, the number of hospitalizations, severe New York Heart Association (NYHA) classification, and the risk of advanced HF. In conclusion, CAR is significantly associated with poor HF outcomes including all-cause mortality (cardiac and non-cardiac death). CI - Copyright (c) 2024 The Author(s). Published by Elsevier Inc. All rights reserved. FAU - Kurniawan, Roy Bagus AU - Kurniawan RB AD - Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia. FAU - Oktafia, Pratista AU - Oktafia P AD - Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia. FAU - Saputra, Pandit Bagus Tri AU - Saputra PBT AD - Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia; Cardiovascular Research and Innovation Center, Universitas Airlangga, Surabaya, East Java, Indonesia. FAU - Purwati, Dinda Dwi AU - Purwati DD AD - Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia. FAU - Saputra, Mahendra Eko AU - Saputra ME AD - Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia; Cardiovascular Research and Innovation Center, Universitas Airlangga, Surabaya, East Java, Indonesia. FAU - Maghfirah, Irma AU - Maghfirah I AD - Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia; Cardiovascular Research and Innovation Center, Universitas Airlangga, Surabaya, East Java, Indonesia. FAU - Faizah, Novia Nurul AU - Faizah NN AD - Division of Cardiovascular Medicine, Graduate School of Medicine, Kobe University, Kobe, Japan. FAU - Oktaviono, Yudi Her AU - Oktaviono YH AD - Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia; Cardiovascular Research and Innovation Center, Universitas Airlangga, Surabaya, East Java, Indonesia. Electronic address: yudi.her@fk.unair.ac.id. FAU - Alkaff, Firas Farisi AU - Alkaff FF AD - Division of Nephrology, Department of Internal Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; Division of Pharmacology and Therapy, Department of Anatomy, Histology, and Pharmacology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. Electronic address: firasfarisialkaff@fk.unair.ac.id. LA - eng PT - Journal Article PT - Review PT - Systematic Review DEP - 20240222 PL - Netherlands TA - Curr Probl Cardiol JT - Current problems in cardiology JID - 7701802 RN - 9007-41-4 (C-Reactive Protein) RN - 0 (Albumins) RN - 0 (Biomarkers) SB - IM MH - Humans MH - *C-Reactive Protein MH - Prognosis MH - Albumins MH - *Heart Failure/diagnosis MH - Biomarkers OTO - NOTNLM OT - Adverse outcome OT - CRP-albumin ratio OT - Heart failure OT - Mortality OT - Prognostic COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2024/02/25 00:42 MHDA- 2024/04/02 06:45 CRDT- 2024/02/24 19:18 PHST- 2024/02/16 00:00 [received] PHST- 2024/02/20 00:00 [accepted] PHST- 2024/04/02 06:45 [medline] PHST- 2024/02/25 00:42 [pubmed] PHST- 2024/02/24 19:18 [entrez] AID - S0146-2806(24)00114-2 [pii] AID - 10.1016/j.cpcardiol.2024.102475 [doi] PST - ppublish SO - Curr Probl Cardiol. 2024 May;49(5):102475. doi: 10.1016/j.cpcardiol.2024.102475. Epub 2024 Feb 22.