Assessment of preoperative serum albumin level and its correlation with postoperative wound complication in major elective abdominal surgeries

Authors

  • Yashpal Ramole Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Anuradha Chaudhary Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Badri Prasad Patel Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Abhijeet Singh Divan Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Amit Jain Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • M. C. Songra Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20201860

Keywords:

Gastrointestinal surgery, Malnutrition, Postoperative complication, Serum albumin

Abstract

Background: Patients who have signs of malnutrition have a higher risk of complications and an increased risk of death in comparison with patients who have adequate nutritional reserves. It is common and occurs in about 30% of surgical patients with gastrointestinal diseases and in up to 60% of those in whom hospital stay has been prolonged because of postoperative complications. The serum albumin level is the most readily available and clinically useful parameter. A serum albumin level greater than 3.5 g% suggests adequate protein stores and it confers a protective effect through several biological mechanisms. It predicts perioperative morbidity and mortality.

Methods: Our study was conducted on a cohort of 100 Patients admitted in Department of General surgery Hamidia Hospital for major elective surgery between October 2016 and September 2017. Sample size taken was 100.

Results: The present study shows that patients with serum albumin less than 3 g/dl has more postoperative complications and patients with serum albumin >3.5 g/dl has less postoperative complications which was statistically significant. The study concludes that as the serum albumin level increases the complication rate decreases.

Conclusions: Our study shows that sr. albumin is a good indicator of postoperative complications. The patients with sr. albumin <3.0 g/dl had a higher complication rate which was statistically significant (p<0.05). Patients with sr. albumin >3.5 g/dl had less complications which was statistically significant (p<0.05). The correlation between the serum albumin and complication rate was statistically significant in the malignant diseases when considered separately.

Author Biographies

Yashpal Ramole, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

Department Of Surgery, Gandhi Medical College Bhopal

Anuradha Chaudhary, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

Department Of Surgery, Gandhi Medical College Bhopal

Badri Prasad Patel, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

Department Of Surgery, Gandhi Medical College Bhopal

Abhijeet Singh Divan, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

Department Of Surgery, Gandhi Medical College Bhopal

Amit Jain, Department of Surgery, Gandhi Medical College, Bhopal, Madhya Pradesh, India

Department Of Surgery, Gandhi Medical College Bhopal

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Published

2020-04-23

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Original Research Articles