Preoperative serum albumin level as independent predictor of surgical outcome in acute abdomen
| Autor: | Smita Das, Kanakeswar Bhuyan |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
biology Exploratory laparotomy business.industry medicine.medical_treatment Serum albumin Albumin Retrospective cohort study medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Acute abdomen 030220 oncology & carcinogenesis Laparotomy medicine biology.protein 030212 general & internal medicine Hypoalbuminemia Risk factor medicine.symptom business |
| Zdroj: | International Surgery Journal. :277-279 |
| ISSN: | 2349-3305 |
| Popis: | Background: The prognostic implications and significance of hypoalbuminemia after surgical intervention is significant. In this study, we assess the predictive value of preoperative serum albumin level on postoperative morbidity and mortality following surgical intervention in acute abdomen. Methods: In this retrospective study, Medical records of 110 patients with estimated preoperative serum albumin level undergoing exploratory laparotomy with acute abdominal conditions in a tertiary health care centre were reviewed. Patients with record of preoperative serum albumin level were reviewed. Albumin less than 3.2 g/dL was recognized as hypoalbuminemia. Types of surgery, postoperative complications, and mortality rates were collected. The association between preoperative serum albumin level and postoperative morbidity and mortality was assessed. Results: Preoperative serum albumin level of 3.2g/dl was found in 33 (30%) cases and 77 (70%) patients had same or less than 3.2g/dl albumin. Patients with preoperative serum albumin less than 3.2 g/dL had complications in 50 (45.5%) cases than that of normal preoperative albumin levels (07: 5.5%; p= 3.2g/dl and 28 cases with less than 3.2g/dl (p= 3.2g/dl serum albumin against 20 cases (25%) with less than 3.2g/dl. (p=0.0187; 95% CI=0.066-0.997). Conclusions: Preoperative hypoalbuminemia is an independent risk factor for postoperative complications after emergency laparotomy. |
| Databáze: | OpenAIRE |
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