فهرست نشریات علمی دسترسی آزاد ایران

Introduction: This study aimed to assess the effectiveness of the Serum Urea-to-Albumin Ratio (UAR) as a predictor of prolonged Length of Stay (LOS) in patients admitted with Myocardial Infarction (MI).Materials and Methods: This retrospective study analyzed data from 195 patients admitted with MI. LOS was recorded and categorized as Short Stay (≤6 days) or long stay (>6 days). Statistical analyses included comparative tests, correlation, linear and binary logistic regression, and Receiver Operating Characteristic (ROC) curve analysis. A p-value of <0.05 was considered statistically significant.Results: The mean age of patients was 51 years, with 67.7% being male. UAR was significantly higher in the long stay group (median 7) compared to the short stay group (median 5.4) (p<0.001). Spearman correlation showed a significant positive correlation between UAR and LOS (r=0.37, p<0.001). In binary logistic regression, UAR was a significant predictor of long stay (OR 1.2077, 95% CI 1.0947-1.3323, p<0.001). ROC analysis for UAR predicting long stay yielded an Area Under the Curve (AUC) of 0.6648, with an optimal cut-off of 6.4848 (Sensitivity 55.10%, Specificity 72.16%).Conclusions: The Serum UAR demonstrates a significant association with LOS in MI patients and can be a useful, easily calculated adjunct tool for early risk stratification of MI patients for prolonged LOS.