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  1. Home
  2. Volume 5, Issue 1
  3. Author

Online ISSN: 2515-8260

Volume5, Issue1

Serum Albumin: Useful Predictors Of Surgical Site Infections In Emergency Laparotomy

    Dr. Ilakkiaselvan K .

European Journal of Molecular & Clinical Medicine, 2018, Volume 5, Issue 1, Pages 524-530

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Abstract

Background and objectives:Emergency surgeries have been found to be associated with high
rates of surgical site infections compared to elective surgeries. This study was conducted to
determine serum albumin as predictor of SSI in emergency laparotomy as to throw light on
how to minimize SSI. This study was intended to find the association between preoperative
albumin and SSI, length of hospital stay and death in emergency laparotomy
Methodology: A prospective cohort study was conducted between April 2018 and October
2018. Among 94 patients who underwent emergency laparotomy in Department of General
Surgery. Each patient will be monitored from time of admission until the time of discharge
and followed postoperatively 30 days for surgical site infection. The predictor variable is preop
serum albumin. The outcome variables are surgical site infection, length of hospital stay
and death .The analysis was done to find association between this variable.
Results: During follow up of 94 patients, 29(30.8%) developed SSI and 7(8.5%) patients
died. The patients with serum albumin 3.5g/dl(8.7%). The patients with low albumin had
increased length of stay in hospital than those with high values. Patients with albumin 3.5g/dl
had 2.2% death. Serum albumin emerged significant to SSI after multivariate analysis. Serum
albumin had not emerged as significant to length of stay and death. Serum albumin is a good
predictor of SSI in emergency laparotomy and patients with serum albumin of < 174mg/dl
has a high risk of developing surgical site infection with sensitivity of 87.6% and the
specificity of 68.9%.
Conclusion: In this study, low albumin is associated with increased risk of SSI. Association
of serum albumin with length of stay and death could not be made. Serum albumin is a better
predictor of SSI.
Keywords:
    Surgical site infections pre-op albumin length of hospital stay death emergency laparotomy
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(2022). Serum Albumin: Useful Predictors Of Surgical Site Infections In Emergency Laparotomy. European Journal of Molecular & Clinical Medicine, 5(1), 524-530.
Dr. Ilakkiaselvan K .. "Serum Albumin: Useful Predictors Of Surgical Site Infections In Emergency Laparotomy". European Journal of Molecular & Clinical Medicine, 5, 1, 2022, 524-530.
(2022). 'Serum Albumin: Useful Predictors Of Surgical Site Infections In Emergency Laparotomy', European Journal of Molecular & Clinical Medicine, 5(1), pp. 524-530.
Serum Albumin: Useful Predictors Of Surgical Site Infections In Emergency Laparotomy. European Journal of Molecular & Clinical Medicine, 2022; 5(1): 524-530.
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