A retrospective study to evaluate the effect of hypoproteinemia in the outcome of emergency abdominal surgeries

Sahil Rometra; Ankit Jain

Volume : VIII, Issue : III, March - 2019

A retrospective study to evaluate the effect of hypoproteinemia in the outcome of emergency abdominal surgeries

Sahil Rometra, Ankit Jain

Abstract :

Background: Hypoproteinemia reflects the nutritional status of the patient which is best reflected by albumin. Albumin is one of the most important proteins used in the body. This essential protein makes up approximately 60 % of protein in blood plasma.Preoperative hypoalbuminemia is an independent risk factor for several adverse outcomes postoperatively. Methods: : A retrospective study was carried out in Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun , Uttarakhand to evaluate the effect of hypoalbuminemia in the outcome of emergency abdominal surgeries . Results: A total of 88 patients, who underwent emergency laparotomy surgery were included in the study. Of the 88 patients, 64 were males and 24 females. The mean age of the patients in the study was 42.2 years. The number of females remained more or less consistent in all age groups but the males showed a preponderance in the 15–45yrs group. There was a significantly higher mortality among females ,however the morbidity remained quite similar for both men and women . Of the 88 patients included in the study, 36 were found to be hypoalbuminemic. 67% of the females were hypoalbuminemic and 50% of these expired. On the other hand, 31% of males were hypoalbuminemic with 20% of them expired. In our study there was a significant association between low albumin , pulmonary odema, ileus , sepsis and mortality. We did not find any association between hypoalbuminemia, pleural effusion, surgical site infection and anastomotic leak. Conclusion : Hypoalbuminemia is an important independent risk factor for the perioperative and post operative morbidity and mortality