A study to correlate serum lactate Albumin ratio to raas scoring system in Sepsis in micu at a tertiary care Hospital-a prospective cross sectional Study

Abstract

Introduction: Sepsis remains a significant global health concern with high morbidity and mortality rates despite advances in critical care medicine. Early identification and risk stratification are crucial for timely interventions. This study aimed to evaluate the correlation between serum lactate-albumin ratio (LAR) and the RAAS (Rapid Alarm Asepsis Score) scoring system, along with other established prognostic markers, in sepsis patients admitted to the Medical Intensive Care Unit (MICU) at a tertiary care hospital. Methodology: A prospective cross-sectional study was conducted involving 75 patients diagnosed with sepsis according to the Sepsis-3 criteria and admitted to the MICU. Demographic details, clinical characteristics, and laboratory parameters including serum lactate, albumin, procalcitonin (PCT), high-sensitivity C-reactive protein (hsCRP), and red cell distribution width (RDW) were recorded. Established scoring systems including APACHE II (Acute Physiology and Chronic Health Evaluation II) and SOFA (Sequential Organ Failure Assessment) were calculated. RAAS scores were determined and patients were categorized into four groups. Correlations between LAR, RAAS scores, and other prognostic markers were analyzed.