Research Article

Postoperative Ratio of C-Reactive Protein to Albumin as a Predictive Marker in Patients with Crohn’s Disease Undergoing Bowel Resection

Table 1

Characteristic of participants and univariate analysis of risk factors associated with postoperative complications.

CharacteristicsAll (534)With complications (172)Without complications (362) value

Age0.928
Men375 (70.2)119 (69.2)256 (70.7)0.717
BMI<0.001
Preoperative Hb0.054
Preoperative ALB0.001
Postoperative CRP<0.001
Postoperative CAR<0.001
Preoperative CRP<0.001
Preoperative ESR0.086
Preoperative WBC0.120
Preoperative RBC0.133
Preoperative PLT0.572
Preoperative lymphocyte0.176
Current smoking20 (3.7)7 (4.1)13 (3.6)0.785
Disease duration before surgery0.457
Preoperative optimization
 Exclusive enteral nutrition158 (29.6)37 (21.5)121 (33.4)0.005
 Total parenteral nutrition67 (12.5)17 (9.9)50 (13.8)0.200
 Abscesses drainage65 (12.2)20 (11.6)45 (12.4)0.791
Montreal classification
 Age, y
 A1 (≤16)3 (0.6)2 (1.2)1 (0.3)0.224
 A2 (17-40)396 (74.2)127 (73.8)269 (74.3)0.907
 A3 (>40)135 (25.3)43 (25.0)92 (25.4)0.918
Location
 L1 (ileal)147 (27.5)55 (32.0)92 (25.4)0.113
 L2 (colonic)76 (14.2)24 (14.0)52 (14.4)0.899
 L3 (ileocolonic)303 (56.7)104 (60.5)199 (55.0)0.231
 L4 (upper gastrointestinal)44 (8.2)15 (8.7)29 (8.0)0.780
Behavior
 B1 (inflammatory/failure of medical therapy)35 (6.6)9 (5.2)26 (7.2)0.395
 B2 (stricturing)348 (65.2)109 (63.3)239 (66.0)0.418
 B3 (penetrating)199 (37.3)72 (41.9)127 (35.1)0.130
 Perianal disease150 (28.1)43 (25.0)107 (29.6)0.273
Operative time<0.001
45 (8.4)14 (8.1)31 (8.6)0.869
First time operated299 (56.0)83 (48.3)216 (59.7)0.013
Laparoscopic surgery264 (49.4)50 (29.0)214 (59.1)<0.001
Conversion101 (18.9)36 (20.9)65 (18.0)0.412
Estimated blood loss<0.001
Preoperative treatment
 Azathioprine111 (20.8)33 (19.2)78 (21.5)0.530
 Infliximab115 (21.5)43 (25.0)72 (19.9)0.179
 5-ASA144 (27.0)45 (26.2)99 (27.3)0.773
 Corticosteroids25 (4.7)5 (2.9)20 (5.5)0.181
 Others117 (21.9)42 (24.4)75 (20.7)0.334

BMI: body mass index; Hb: haemoglobin; ALB: albumin; CRP: C-reactive protein; ESR: erythrocyte sedimentation rate; WBC: white blood cell; RBC: red blood cell; PLT: platelet; CAR: the CRP/ALB ratio.