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Low serum albumin levels predict short‐ and long‐term mortality risk in patients hospitalised to general surgery wards

Internal Medicine Journal Aug 19, 2020

Akirov A, Gorshtein A, Adler‐Cohen C, et al. - This study was undertaken to investigate the correlation of albumin levels on admission and change in levels during hospitalisation of patients in general surgery wards with hospitalisation outcomes. Researchers carried out historical prospective data of patients hospitalised between January 2011 and December 2017. Researchers categorized albumin levels as follows: marked hypoalbuminaemia (< 2.5 mg/dL), mild hypoalbuminaemia (2.5–3.5 mg/dL), normal albumin (3.5–4.5 mg/dL) and hyperalbuminaemia (> 4.5 mg/dL). The length of hospitalisation, 30‐days and long‐term mortality were the main outcomes. A cohort study was performed including a total of 17,930 patients (mean age 58 ± 20 years, 49% male). An association was found between low albumin levels on admission to general surgery wards and increased short‐and long‐term mortality. In comparison with hypoalbuminaemia before discharge, normalisation of albumin levels before discharge was correlated with lower mortality.

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