{"id":"https://openalex.org/W7225733478","doi":"https://doi.org/10.3389/fped.2026.1989303","title":"Neutrophil percentage-to-albumin ratio and its discriminative performance in pneumonia-associated sepsis and septic shock in children older than 3 years: a retrospective observational study","display_name":"Neutrophil percentage-to-albumin ratio and its discriminative performance in pneumonia-associated sepsis and septic shock in children older than 3 years: a retrospective observational study","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225733478","doi":"https://doi.org/10.3389/fped.2026.1989303"},"language":"en","primary_location":{"id":"doi:10.3389/fped.2026.1989303","doi":"https://doi.org/10.3389/fped.2026.1989303","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fped.2026.1989303","pdf_url":"https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2026.1989303/pdf","source":{"id":"https://openalex.org/S2596117549","display_name":"Frontiers in Pediatrics","issn_l":"2296-2360","issn":["2296-2360"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2026.1989303/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161380677","display_name":"Zihan Wang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I38877650","display_name":"Zhengzhou University","ror":"https://ror.org/04ypx8c21","country_code":"CN","type":"education","lineage":["https://openalex.org/I38877650"]},{"id":"https://openalex.org/I4210107961","display_name":"Zhengzhou Children's Hospital","ror":"https://ror.org/01jfd9z49","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210107961"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zihan Wang","raw_affiliation_strings":["Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children's Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children's Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University","institution_ids":["https://openalex.org/I38877650","https://openalex.org/I4210107961"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002583339","display_name":"Tiewei Li","orcid":"https://orcid.org/0000-0003-4890-1134","observed_orcids":["https://orcid.org/0000-0003-4890-1134"]},"institutions":[{"id":"https://openalex.org/I38877650","display_name":"Zhengzhou University","ror":"https://ror.org/04ypx8c21","country_code":"CN","type":"education","lineage":["https://openalex.org/I38877650"]},{"id":"https://openalex.org/I4210107961","display_name":"Zhengzhou Children's Hospital","ror":"https://ror.org/01jfd9z49","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210107961"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Tiewei Li","raw_affiliation_strings":["Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children\u2019s Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University, Henan Children\u2019s Hospital, Zhengzhou Children\u2019s Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children\u2019s Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University, Henan Children\u2019s Hospital, Zhengzhou Children\u2019s Hospital","institution_ids":["https://openalex.org/I38877650","https://openalex.org/I4210107961"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161411441","display_name":"Xiaojuan Li","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I38877650","display_name":"Zhengzhou University","ror":"https://ror.org/04ypx8c21","country_code":"CN","type":"education","lineage":["https://openalex.org/I38877650"]},{"id":"https://openalex.org/I4210107961","display_name":"Zhengzhou Children's Hospital","ror":"https://ror.org/01jfd9z49","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210107961"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xiaojuan Li","raw_affiliation_strings":["Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children\u2019s Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University, Henan Children\u2019s Hospital, Zhengzhou Children\u2019s Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children\u2019s Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University, Henan Children\u2019s Hospital, Zhengzhou Children\u2019s Hospital","institution_ids":["https://openalex.org/I38877650","https://openalex.org/I4210107961"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161372615","display_name":"Jingyue Li","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I38877650","display_name":"Zhengzhou University","ror":"https://ror.org/04ypx8c21","country_code":"CN","type":"education","lineage":["https://openalex.org/I38877650"]},{"id":"https://openalex.org/I4210107961","display_name":"Zhengzhou Children's Hospital","ror":"https://ror.org/01jfd9z49","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210107961"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jingyue Li","raw_affiliation_strings":["Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children's Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children's Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University","institution_ids":["https://openalex.org/I38877650","https://openalex.org/I4210107961"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011328853","display_name":"Yiming Peng","orcid":"https://orcid.org/0009-0003-9292-2490","observed_orcids":["https://orcid.org/0009-0003-9292-2490"]},"institutions":[{"id":"https://openalex.org/I38877650","display_name":"Zhengzhou University","ror":"https://ror.org/04ypx8c21","country_code":"CN","type":"education","lineage":["https://openalex.org/I38877650"]},{"id":"https://openalex.org/I4210107961","display_name":"Zhengzhou Children's Hospital","ror":"https://ror.org/01jfd9z49","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210107961"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yiming Peng","raw_affiliation_strings":["Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children's Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children's Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University","institution_ids":["https://openalex.org/I38877650","https://openalex.org/I4210107961"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5134842013","display_name":"Yixin Xu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I38877650","display_name":"Zhengzhou University","ror":"https://ror.org/04ypx8c21","country_code":"CN","type":"education","lineage":["https://openalex.org/I38877650"]},{"id":"https://openalex.org/I4210107961","display_name":"Zhengzhou Children's Hospital","ror":"https://ror.org/01jfd9z49","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210107961"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yixin Xu","raw_affiliation_strings":["Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children's Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children's Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University","institution_ids":["https://openalex.org/I38877650","https://openalex.org/I4210107961"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114213458","display_name":"Jingru Kang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I38877650","display_name":"Zhengzhou University","ror":"https://ror.org/04ypx8c21","country_code":"CN","type":"education","lineage":["https://openalex.org/I38877650"]},{"id":"https://openalex.org/I4210107961","display_name":"Zhengzhou Children's Hospital","ror":"https://ror.org/01jfd9z49","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210107961"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jingru Kang","raw_affiliation_strings":["Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children's Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children's Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University","institution_ids":["https://openalex.org/I38877650","https://openalex.org/I4210107961"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5161365486","display_name":"Zhipeng Jin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I38877650","display_name":"Zhengzhou University","ror":"https://ror.org/04ypx8c21","country_code":"CN","type":"education","lineage":["https://openalex.org/I38877650"]},{"id":"https://openalex.org/I4210107961","display_name":"Zhengzhou Children's Hospital","ror":"https://ror.org/01jfd9z49","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210107961"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Zhipeng Jin","raw_affiliation_strings":["Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children's Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Laboratory, Zhengzhou Key Laboratory of Children's Infection and Immunity, Children\u2019s Hospital Affiliated to Zhengzhou University","institution_ids":["https://openalex.org/I38877650","https://openalex.org/I4210107961"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5002583339","https://openalex.org/A5161365486"],"corresponding_institution_ids":["https://openalex.org/I38877650","https://openalex.org/I4210107961"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14165","display_name":"Inflammation biomarkers and pathways","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2403","display_name":"Immunology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11961","display_name":"Neonatal and Maternal Infections","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9150999784469604},{"id":"https://openalex.org/C2777628635","wikidata":"https://www.wikidata.org/wiki/Q1765564","display_name":"Septic shock","level":3,"score":0.8759999871253967},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.8572999835014343},{"id":"https://openalex.org/C2777914695","wikidata":"https://www.wikidata.org/wiki/Q12192","display_name":"Pneumonia","level":2,"score":0.6029000282287598},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5227000117301941},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5152999758720398},{"id":"https://openalex.org/C2781300812","wikidata":"https://www.wikidata.org/wiki/Q178061","display_name":"Shock (circulatory)","level":2,"score":0.46790000796318054},{"id":"https://openalex.org/C2776102371","wikidata":"https://www.wikidata.org/wiki/Q460030","display_name":"Community-acquired pneumonia","level":3,"score":0.3709999918937683},{"id":"https://openalex.org/C2781090800","wikidata":"https://www.wikidata.org/wiki/Q776030","display_name":"Systemic inflammatory response syndrome","level":3,"score":0.35679998993873596},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3456000089645386},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.3379000127315521},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.32600000500679016},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.29420000314712524},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2930000126361847},{"id":"https://openalex.org/C30036603","wikidata":"https://www.wikidata.org/wiki/Q17125150","display_name":"Severity of illness","level":2,"score":0.28839999437332153},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.28380000591278076},{"id":"https://openalex.org/C2776345407","wikidata":"https://www.wikidata.org/wiki/Q3776920","display_name":"Bacterial pneumonia","level":3,"score":0.2808000147342682},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.2791999876499176},{"id":"https://openalex.org/C2779443120","wikidata":"https://www.wikidata.org/wiki/Q650912","display_name":"Bacteremia","level":3,"score":0.27410000562667847}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3389/fped.2026.1989303","doi":"https://doi.org/10.3389/fped.2026.1989303","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fped.2026.1989303","pdf_url":"https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2026.1989303/pdf","source":{"id":"https://openalex.org/S2596117549","display_name":"Frontiers in Pediatrics","issn_l":"2296-2360","issn":["2296-2360"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Pediatrics","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3389/fped.2026.1989303","doi":"https://doi.org/10.3389/fped.2026.1989303","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fped.2026.1989303","pdf_url":"https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2026.1989303/pdf","source":{"id":"https://openalex.org/S2596117549","display_name":"Frontiers in Pediatrics","issn_l":"2296-2360","issn":["2296-2360"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Pediatrics","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225733478.pdf","grobid_xml":"https://content.openalex.org/works/W7225733478.grobid-xml"},"referenced_works_count":37,"referenced_works":["https://openalex.org/W2144589352","https://openalex.org/W2280404143","https://openalex.org/W2547803682","https://openalex.org/W2594491858","https://openalex.org/W2808829764","https://openalex.org/W2912650925","https://openalex.org/W2942444134","https://openalex.org/W3015047078","https://openalex.org/W3137943546","https://openalex.org/W3207100043","https://openalex.org/W4200611108","https://openalex.org/W4205387145","https://openalex.org/W4223558783","https://openalex.org/W4238061680","https://openalex.org/W4292482612","https://openalex.org/W4317681073","https://openalex.org/W4318616190","https://openalex.org/W4323046610","https://openalex.org/W4380577059","https://openalex.org/W4388791661","https://openalex.org/W4389619202","https://openalex.org/W4389884905","https://openalex.org/W4391062880","https://openalex.org/W4391063005","https://openalex.org/W4391610692","https://openalex.org/W4400261049","https://openalex.org/W4401328611","https://openalex.org/W4405693820","https://openalex.org/W4405903130","https://openalex.org/W4406360577","https://openalex.org/W4408846071","https://openalex.org/W4410705021","https://openalex.org/W4411484015","https://openalex.org/W4414652634","https://openalex.org/W4416538570","https://openalex.org/W4416691489","https://openalex.org/W4416717868"],"related_works":[],"abstract_inverted_index":{"Purpose":[0],"Neutrophil":[1],"percentage":[2],"(N%)":[3],"and":[4,21,24,29,70,80,88,92,112,131,161,175,182,189,212,229,239,256,263,275,278,289,291],"albumin":[5],"(ALB)":[6],"are":[7,261,287],"associated":[8,178],"with":[9,43,54,61,86,96,153,158,179,295],"sepsis.":[10],"We":[11],"investigated":[12],"the":[13,16,66,108,120,136,142,203,306],"association":[14,294],"between":[15],"neutrophil":[17],"percentage-to-albumin":[18],"ratio":[19],"(NPAR)":[20],"pneumonia-associated":[22,62,273],"sepsis":[23,89,100,105,109,154,168,181,200,255,274,296],"septic":[25,55,63,113,164,183,213,234,259,276],"shock":[26,64,91,111,114,165,170,184,214,277],"in":[27,151,156,163,167,271],"children,":[28],"evaluated":[30],"its":[31,222],"discriminative":[32],"performance":[33],"for":[34,187,199,233,254,258],"these":[35,283],"conditions.":[36,284],"Methods":[37],"This":[38],"retrospective":[39,288],"observational":[40],"study":[41],"began":[42],"children":[44,60,152],"aged":[45],">3":[46],"years":[47],"admitted":[48],"to":[49,83,93,281],"Henan":[50],"Children's":[51],"Hospital":[52],"(2021\u20132024)":[53],"shock.":[56],"Among":[57],"them,":[58],"88":[59],"formed":[65],"index":[67],"(anchor)":[68],"group,":[69],"each":[71],"was":[72,117,149,176],"matched":[73],"1:1":[74],"on":[75],"sex,":[76],"age,":[77],"admission":[78,81],"year":[79],"month":[82],"one":[84,94],"child":[85,95],"pneumonia":[87,97,160],"without":[90,99,110,145,169],"but":[98,241],"(88":[101],"per":[102],"group).":[103],"The":[104,250],"cohort":[106],"comprised":[107],"groups.":[115],"NPAR":[116,148,195,268],"calculated":[118],"from":[119],"first":[121],"laboratory":[122,190],"results":[123],"within":[124],"24":[125],"h":[126],"of":[127,226,303],"admission.":[128],"Sepsis":[129,138],"status":[130],"severity":[132,297],"were":[133],"classified":[134],"using":[135],"Phoenix":[137],"Score":[139],"(PSS)":[140],"at":[141,298],"same":[143],"admission,":[144],"follow-up.":[146],"Results":[147],"higher":[150,162],"than":[155,166,301],"those":[157,225],"non-sepsis":[159],"(both":[171],"P":[172,247],"<":[173],"0.001),":[174],"independently":[177],"PSS-defined":[180],"after":[185],"adjustment":[186],"clinical":[188,313],"covariates.":[191],"In":[192],"this":[193],"cohort,":[194],"showed":[196],"exploratory":[197,262,290],"discrimination":[198],"(area":[201],"under":[202],"curve":[204],"[AUC]":[205],"0.83,":[206],"95%":[207,217],"confidence":[208],"interval":[209],"[CI]":[210],"0.78\u20130.88)":[211],"(AUC":[215],"0.77,":[216],"CI":[218],"0.71\u20130.83).":[219],"For":[220],"sepsis,":[221],"AUC":[223],"exceeded":[224,237],"N%,":[227],"ALB":[228,243],"C-reactive":[230],"protein":[231],"(CRP);":[232],"shock,":[235],"it":[236],"N%":[238],"CRP":[240],"not":[242],"(0.77":[244],"vs.":[245],"0.76,":[246],"=":[248],"0.819).":[249],"proposed":[251,307],"thresholds":[252,308],"(1.75":[253],"1.87":[257],"shock)":[260],"require":[264,309],"external":[265,310],"validation.":[266],"Conclusions":[267],"is":[269],"elevated":[270],"pediatric":[272],"may":[279],"help":[280],"discriminate":[282],"These":[285],"findings":[286],"reflect":[292],"an":[293],"presentation":[299],"rather":[300],"prediction":[302],"subsequent":[304],"deterioration;":[305],"validation":[311],"before":[312],"use.":[314]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-11T00:00:00"}
