Journal ArticleDOI
Incidence and mortality of hypoalbuminemic patients in hospitalized veterans.
George F. Reinhardt,Jeanne W. Myscofski,Donna B. Wilkens,Philip B. Dobrin,James E. Mangan,Robert T. Stannard +5 more
TLDR
It is concluded that, in the hospitalized veteran population, HAlb is a common finding and is associated with an increased 30-day mortality rate.Abstract:
The purpose of this study was to determine the incidence of hypoalbuminemia (HAlb) in a hospitalized male veteran population. Computerized surveillance of all clinical serum albumin determinations was performed during a 60-day interval. Each patient with an albumin level of 3.4 g/100 ml or less was identified and classified as an A, B, C, or D patient, based on the lowest recorded albumin level. After classification, each patient was followed either until death or for a minimum of 60 days. From a population of 2060 hospitalized veterans, 509 were identified as having HAlb for an incidence of 24.7%. The 30-day mortality rate for these 509 patients was 24.6%. The highest mortality rate, 62.0%, was seen in 50 group D patients whose albumin levels fell to 2.0 or below. For all HAlb patient groups, a linear correlation could be demonstrated between the level of HAlb observed and the subsequent 30-day mortality rate. It is concluded that, in our hospitalized veteran population, HAlb is a common finding and is associated with an increased 30-day mortality rate.read more
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The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis.
TL;DR: It was concluded that malnutrition, as analyzed by a multivariate logistic regression model, is an independent risk factor impacting on higher complications and increased mortality, length of hospital stay and costs.
Journal ArticleDOI
Nutritional assessment: A comparison of clinical judgement and objective measurements
Jeffrey P. Baker,Allan S. Detsky,David E. Wesson,Stephen L. Wolman,Sandra Stewart,Jocelyn. Whitewell,Bernard Langer,Khursheed N. Jeejeebhoy +7 more
TL;DR: 24. Manganese content of large volume parenteral solutions and of nutrient additives in long term home TPN patients.
Journal ArticleDOI
Preoperative Serum Albumin Level as a Predictor of Operative Mortality and Morbidity: Results From the National VA Surgical Risk Study
TL;DR: Serum albumin concentration is a relatively low-cost test that should be used more frequently as a prognostic tool to detect malnutrition and risk of adverse surgical outcomes, particularly in populations in whom comorbid conditions are relatively frequent.
Journal ArticleDOI
Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients.
TL;DR: The prevalence of malnutrition in hospitalized patients in Brazil is high, physician awareness of malnutrition is low, and nutrition therapy is underprescribed.
Journal ArticleDOI
The role of albumin in critical illness
References
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Prognostic nutritional index in gastrointestinal surgery
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Implications of Malnutrition in the Surgical Patient
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Hospital malnutrition. A prospective evaluation of general medical patients during the course of hospitalization.
TL;DR: Findings demonstrate and association between nutrition status and hospital course and a worsening trend during hospitalization.