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Cirugía y cirujanos
versão On-line ISSN 2444-054Xversão impressa ISSN 0009-7411
Resumo
SAUCEDO-MORENO, Eric M.; FERNANDEZ-RIVERA, Enrique e RICARDEZ-GARCIA, José A.. Hypoalbuminemia as a predictor of mortality in abdominal sepsis. Cir. cir. [online]. 2020, vol.88, n.4, pp.481-484. Epub 08-Nov-2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.20001712.
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.
Palavras-chave : Hypoalbuminemia; Sepsis; Abdominal sepsis.