Preoperative serum albumin level as a predictor of perioperative outcome in patient undergoing major gastrointestinal surgery

Introduction: Hypoalbuminemia, as a marker of malnutrition and disease, is associated with higher risk of poor postoperative outcomes. However, no study has been reported from our country until now. Our aim was to identify the relationship between preoperative hypoalbuminemia and the development of...

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Autores principales:	Tika Ram Bhandari, Sudha Shahi, Ramesh Singh Bhandari, Paleswan Joshi Lakhey
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Gastrointestinal Surgery Hypoalbuminemia Postoperative complication Surgery RD1-811
Acceso en línea:	https://doaj.org/article/68bc15ba73ce48c79fb56a2ba11bd237
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spelling	oai:doaj.org-article:68bc15ba73ce48c79fb56a2ba11bd2372021-12-05T19:16:25ZPreoperative serum albumin level as a predictor of perioperative outcome in patient undergoing major gastrointestinal surgery10.3126/jssn.v19i2.245441815-39842392-4772https://doaj.org/article/68bc15ba73ce48c79fb56a2ba11bd2372016-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/24544https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Hypoalbuminemia, as a marker of malnutrition and disease, is associated with higher risk of poor postoperative outcomes. However, no study has been reported from our country until now. Our aim was to identify the relationship between preoperative hypoalbuminemia and the development of complications after major gastrointestinal surgery. Methods: A prospective study of 106 patients who underwent major elective gastrointestinal surgery between July 2012 to June 2013 in Department of Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal were considered for the study. Serum albumin was determined preoperatively in all patients. Hypoalbuminemia was deﬁned as albumin less than 35 mg/dl. Thirty-day postoperative complications were analyzed. Results: The patients were 70 males (66 %) and 36 females (34%) with a mean age of 50 years (23-81). Thirty-six patients (34%) had hypoalbuminemia. Overall complication rate was 32%. Hypoalbuminemic patients had a significantly higher rate of postoperative complications (26.4 and 5.6%; P<0.05). In multivariate analysis, age (>50 year), BMI (<18 kg/m2), duration of surgery (>3 hours) and hypoalbuminemia (<35 mg/dl) were the significant risk factors for postoperative complications (P<0.05). Conclusion: Preoperative hypoalbuminemia is an independent predictor of postoperative outcomes in patients with elective major gastrointestinal surgery. Identification and optimization of nutritional status prior to surgery may improve surgical outcomes. Tika Ram BhandariSudha ShahiRamesh Singh BhandariPaleswan Joshi LakheySociety of Surgeons of NepalarticleGastrointestinal SurgeryHypoalbuminemiaPostoperative complicationSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 19, Iss 2 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Gastrointestinal Surgery Hypoalbuminemia Postoperative complication Surgery RD1-811
spellingShingle	Gastrointestinal Surgery Hypoalbuminemia Postoperative complication Surgery RD1-811 Tika Ram Bhandari Sudha Shahi Ramesh Singh Bhandari Paleswan Joshi Lakhey Preoperative serum albumin level as a predictor of perioperative outcome in patient undergoing major gastrointestinal surgery
description	Introduction: Hypoalbuminemia, as a marker of malnutrition and disease, is associated with higher risk of poor postoperative outcomes. However, no study has been reported from our country until now. Our aim was to identify the relationship between preoperative hypoalbuminemia and the development of complications after major gastrointestinal surgery. Methods: A prospective study of 106 patients who underwent major elective gastrointestinal surgery between July 2012 to June 2013 in Department of Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal were considered for the study. Serum albumin was determined preoperatively in all patients. Hypoalbuminemia was deﬁned as albumin less than 35 mg/dl. Thirty-day postoperative complications were analyzed. Results: The patients were 70 males (66 %) and 36 females (34%) with a mean age of 50 years (23-81). Thirty-six patients (34%) had hypoalbuminemia. Overall complication rate was 32%. Hypoalbuminemic patients had a significantly higher rate of postoperative complications (26.4 and 5.6%; P<0.05). In multivariate analysis, age (>50 year), BMI (<18 kg/m2), duration of surgery (>3 hours) and hypoalbuminemia (<35 mg/dl) were the significant risk factors for postoperative complications (P<0.05). Conclusion: Preoperative hypoalbuminemia is an independent predictor of postoperative outcomes in patients with elective major gastrointestinal surgery. Identification and optimization of nutritional status prior to surgery may improve surgical outcomes.
format	article
author	Tika Ram Bhandari Sudha Shahi Ramesh Singh Bhandari Paleswan Joshi Lakhey
author_facet	Tika Ram Bhandari Sudha Shahi Ramesh Singh Bhandari Paleswan Joshi Lakhey
author_sort	Tika Ram Bhandari
title	Preoperative serum albumin level as a predictor of perioperative outcome in patient undergoing major gastrointestinal surgery
title_short	Preoperative serum albumin level as a predictor of perioperative outcome in patient undergoing major gastrointestinal surgery
title_full	Preoperative serum albumin level as a predictor of perioperative outcome in patient undergoing major gastrointestinal surgery
title_fullStr	Preoperative serum albumin level as a predictor of perioperative outcome in patient undergoing major gastrointestinal surgery
title_full_unstemmed	Preoperative serum albumin level as a predictor of perioperative outcome in patient undergoing major gastrointestinal surgery
title_sort	preoperative serum albumin level as a predictor of perioperative outcome in patient undergoing major gastrointestinal surgery
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/68bc15ba73ce48c79fb56a2ba11bd237
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Preoperative serum albumin level as a predictor of perioperative outcome in patient undergoing major gastrointestinal surgery

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