Serum Albumin Level at Admission: Mortality and Clinical Outcome in Geriatric Patients
| Autor: | Emilio D'Erasmo, Stefano Romagnoli, Gaetano Spagna, D. Pisani, A. Ragno, M. Acca |
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| Rok vydání: | 1997 |
| Předmět: |
Male
medicine.medical_specialty Serum albumin Gastroenterology Serum albumin level Patient Admission Reference Values Internal medicine medicine Humans In patient Hypoalbuminemia Mortality Serum Albumin Aged Geriatrics Aged 80 and over biology business.industry Metabolic disorder Albumin Cancer General Medicine medicine.disease Prognosis Surgery biology.protein Female business |
| Zdroj: | The American Journal of the Medical Sciences. 314:17-20 |
| ISSN: | 0002-9629 |
| DOI: | 10.1097/00000441-199707000-00004 |
| Popis: | We evaluated serum albumin at time of admission, within 72 hours, in 135 geriatric patients who were older than 70 years to establish its role as a predictor of death and clinical outcome at time of discharge. Serum albumin values were reduced significantly in patients who died compared with those who were discharged in unchanged/impaired and improved conditions (3.01 +/- 0.68 g/dL, 3.18 +/- 0.55 g/dL, and 3.65 +/- 0.52 g/dL respectively, P0.0001). A correlation between serum albumin concentration at admission and number of days elapsed from admission and death was found (r = 0.43, P0.05). Mortality rate was 38.6% in patients with serum albumin values3.3 g/dL compared with 14.1% in those with albumin valuesor = 3.3 g/dL (P0.005). Similar results were obtained even when the main diagnostic conditions, such as cardiocerebrovascular disease and cancer, were considered. The results demonstrate that in geriatric patients the serum albumin level at admission may be a predictor of mortality and clinical outcome at discharge. |
| Databáze: | OpenAIRE |
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