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Prognosis prediction by urinary liver-type fatty acid-binding protein in patients in the intensive care unit admitted from the emergency department: A single-center, historical cohort study Cover

Prognosis prediction by urinary liver-type fatty acid-binding protein in patients in the intensive care unit admitted from the emergency department: A single-center, historical cohort study

Open Access
|Apr 2026

Figures & Tables

Fig. 1.

Patient flow chart of the study.

Table 1.

Baseline clinical characteristics of the study population

ParametersSurvival group (n = 101) median [IQR]Death group (n = 17) median [IQR]p
Physical data
Age (years)65[48–80]79[75–83]<0.01
Male, n (%)61(60.4)11(64.7)0.94
Height (cm)161[154.3–168]156.5[151–161]0.09
Body weight(kg)60.1[50–68.5]52.6[40–57.8]0.02
Laboratory data
WBC (/μL)11200[8200–16300]8900[7500–12000]0.35
Hb (g/dL)12.2[10.6–13.8]12[9.9–12.8]0.30
CRP (mg/dL)0.14[0.03–1.55]1.09[0.18–5.33]0.07
ALB (g/dL)3.8[3.3–4.2]3.2[2.8–3.6]<0.01
Cre (mg/dL)0.95[0.73–1.45]1.3[0.89–1.45]0.17
Lac (mg/dL)2.1[1.2–3.5]5.4[2.2–12.9]<0.01
L-FABP (at admission) (ng/mL)24.23[5.95–191.04]1006.9[134.41–7381]<0.01
L-FABP (3 hours later) (ng/mL)20.69[7.38–153.96]2921.5[519.02–6104.5]<0.01
Scoring data
APACHE II score19[14–27]34[28–40]<0.01
SOFA score7[3–10]11[9–13]<0.01
Others
External causes, n (%)65(64.4)5(29.4)0.01
Time to ICU admission (min)113[86–203]93[82–107]0.03

[i] WBC: White blood cell count; Hb: Hemoglobin; CRP: C-reactive protein; ALB: Albumin; Cre: Creatinine; Lac: Lactate; L-FABP: Liver-type fatty acid-binding protein; APACHE II: Acute Physiology and Chronic Health Evaluation II; SOFA: Sequential Organ Failure Assessment; ICU: Intensive Care Unit

Fig. 2.

ROC curve for mortality within 28-day prediction by urinary L-FABP at 3 hours after ICU admission. AUC: area under the curve; ICU: intensive care unit; L-FABP: liver-type fatty acid-binding protein; ROC: receiver operating characteristic.

Fig. 3.

Kaplan-Meier analysis about Survival for 28 days by urinary L-FABP at 3 hours after ICU admission. ICU: intensive care unit; L-FABP: liver-type fatty acid-binding protein.

Table 2.

Hazard ratio for 28-day survival by urinary L-FABP at 3 hours after ICU admission

Hazard Ratio for 28-Day SurvivalLow L-FABP* (n=74)High L-FABP (n=44)p-value
Crude model, HR [95% CI]1 (reference)32.35 [4.29–244]<0.01
IPTW adjusted, HR [95% CI]1 (reference)8.60 [1.02–72.64]0.047

* L-FABP (T3) < 90.815,

† L-FABP (T3) ≥ 90.815;

L-FABP: Urinary Liver-type fatty acid-binding protein; ICU: Intensive Care Unit; HR: Hazard Ratio; CI: Confidence Interval; IPTW: Inverse Probability of Treatment Weighting

DOI: https://doi.org/10.62838/jccm-2026-0008 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 207 - 214
Submitted on: Nov 17, 2025
Accepted on: Feb 1, 2026
Published on: Apr 30, 2026
Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Hirozumi Okuda, Hideki Asai, Koji Yamamoto, Keita Miyazaki, Hidetada Fukushima, Keigo Saeki, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.