Hypoalbuminemia as a predictor of mortality in abdominal sepsis.

Autor:	Saucedo-Moreno EM; Servicio de Cirugía General, Hospital Ángeles MOCEL, Ciudad de México, México., Fernández-Rivera E; Servicio de Cirugía General, Hospital Ángeles MOCEL, Ciudad de México, México., Ricárdez-García JA; Servicio de Cirugía General, Hospital Ángeles MOCEL, Ciudad de México, México.
Jazyk:	angličtina
Zdroj:	Cirugia y cirujanos [Cir Cir] 2020; Vol. 88 (4), pp. 481-484.
DOI:	10.24875/CIRU.20001712
Abstrakt:	Background: A level < 35 g/L of albumin (hypoalbuminemia) has been determined as a parameter to predict mortality and morbidity. Method: Prospective observational study, in a period of 12 months, to patients diagnosed with sepsis of abdominal origin, they are divided into two groups based on albumin levels (cut: 3.5 g/dL) to assess mortality between both groups. Results: We studied 23 patients admitted to the intensive care unit. The mean albumin was 2.77 g/dL (± 0.71). When calculating the odds ratio (OR) that was a 23-fold greater risk of dying when hypoalbuminemia presented compared to the normal albumin group (OR = 23.3; 95% CI: 1,948 to 279.42). The mean albumin for patients who died was 2.04 g/dL (± 0.31) vs. 3.03 g/dL (± 0.35) (p = 0.02; 95% CI: -1.551 to -0.416). We do not assess morbidity, however, we identify a certain tendency to a longer stay in the ICU which is accompanied by a higher risk of complications and in the end a higher risk of mortality. Conclusion: We conclude that hypoalbuminemia represents a predictor of mortality in patients with abdominal sepsis. (Copyright: © 2020 Permanyer.)
Databáze:	MEDLINE
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