Servicio de Cirugía General, Hospital Ángeles MOCEL, Ciudad de México, México.
Cir Cir. 2020;88(4):481-484. doi: 10.24875/CIRU.20001712.
A level < 35 g/L of albumin (hypoalbuminemia) has been determined as a parameter to predict mortality and morbidity.
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.
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.
We conclude that hypoalbuminemia represents a predictor of mortality in patients with abdominal sepsis.
白蛋白水平 < 35 g/L（低白蛋白血症）已被确定为预测死亡率和发病率的参数。
前瞻性观察研究，在 12 个月的时间内，对诊断为腹部来源脓毒症的患者进行研究，根据白蛋白水平（切点：3.5 g/dL）将患者分为两组，以评估两组之间的死亡率。
我们研究了 23 名入住重症监护病房的患者。白蛋白的平均值为 2.77 g/dL（± 0.71）。当计算白蛋白水平较低时死亡的优势比（OR）时，与正常白蛋白组相比，死亡风险增加了 23 倍（OR = 23.3；95%CI：1.948 至 279.42）。死亡患者的白蛋白平均值为 2.04 g/dL（± 0.31），而 3.03 g/dL（± 0.35）（p = 0.02；95%CI：-1.551 至-0.416）。我们没有评估发病率，但是，我们发现 ICU 住院时间延长的趋势，这伴随着并发症风险增加，最终死亡率增加。
我们得出结论，低白蛋白血症是腹部脓毒症患者死亡率的预测因素。
