A Prospective Study to Correlate Preoperative Serum Albumin as a Predictor of Post-Operative Mortality and Morbidity

Autor:	Sagar Dilip Rathod, Dhirendra Wagh
Rok vydání:	2021
Předmět:	medicine.medical_specialty biology business.industry Serum albumin 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine medicine biology.protein Post operative mortality 030212 general & internal medicine business Prospective cohort study
Zdroj:	Journal of Evolution of Medical and Dental Sciences. 10:1291-1295
ISSN:	2278-4802 2278-4748
DOI:	10.14260/jemds/2021/273
Popis:	BACKGROUND In recent times serum albumin has been considered as a very important factor in determining the clinical outcome of a patient undergoing major surgery. Patients with low serum albumin pre-operatively have been encountered with poor outcome postoperatively. This study was conducted to assess the association between serum albumin concentration and postoperative outcome (morbidity / mortality). METHODS This prospective observational study was carried out in JNMC and AVBRH, Sawangi, Wardha, from September 2018 to September 2020. All patients undergoing emergency / elective major surgeries were included in the study. Detailed history of patients was recorded including chief complaints and any other previous medical history. RESULTS 104 patients were included in the study of which maximum number of patients were seen in the age range of 35 – 64 years. The mean age being 48.19 ± 15.60 years. The gender distribution with more male predominance with 59.62 % participants being males and 40.38 % participants being females. Total 68 patients had postoperative complications, 40 being males and 28 being females. Highest number of complications in this study were seen in age group 55 - 64 years. 50 out of 73 patients with benign diseases developed complications and 18 out of 31 patients with malignant diseases developed complications. CONCLUSIONS Serum albumin has become an important modality to define the clinical outcome of a patient. Surgeons have started using it as a marker to define the post-operative outcome of a patient undergoing surgery. Exogenous albumin administration has also showed promising results in improving the outcome of a patient in the post-operative period. KEY WORDS Hypoalbuminaemia, Serum Albumin, Postoperative Mortality, Postoperative Morbidity
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::ace3f0b7c0e4ccbe41f2f9770ea7dc9b https://doi.org/10.14260/jemds/2021/273 Zobrazit plný text záznamu