Alexander M R, Ambre J J, Liskow B I, Trost D C
JAMA. 1979 Jun 8;241(23):2527-9.
Increasing use of normal human serum albumin may be contributing to the rising cost of medical care. To investigate whether albumin is extensively overused or abused, a study of the quality of albumin use was conducted in a Veterans Administration Hospital. Specific criteria for appropriate use were developed using guidelines defined at a national symposium. A review of use during a three-month period showed that surgery patients received 91% of the albumin administered during that period; of the total amount administered, 41% was used inappropriately; the decision to administer albumin to patients undergoing surgery appeared to be correct only 29% of the time; and an estimated $40,000 was spent on inappropriately used albumin at this hospital in 1977.
越来越多地使用正常人血清白蛋白可能导致医疗费用不断上涨。为了调查白蛋白是否被广泛过度使用或滥用，在一家退伍军人管理局医院对白蛋白的使用质量进行了一项研究。使用在一次全国性研讨会上确定的指南制定了适当使用的具体标准。对三个月期间使用情况的审查表明，手术患者在该期间接受了91%的白蛋白给药；在给药总量中，41%被不当使用；给手术患者使用白蛋白的决定似乎只有29%的时间是正确的；1977年，这家医院在不当使用白蛋白上估计花费了4万美元。
