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- Title
The Role of Serum Albumin Level as a Predictor of Post-Operative Outcomes Following Emergency Exploratory Laparotomy: A Prospective Study.
- Authors
Pardeshi, C. Z.; Nanagre, Nitin R.
- Abstract
Background: An emergency exploratory laparotomy is a crucial surgical technique used to treat abdominal diseases that pose a risk to life. Optimizing patient treatment in this situation requires the identification of variables that predict post-operative results. A widely available biomarker called serum albumin has been suggested as a potential predictor of mortality, length of hospital stay, and post-operative problems. Methods: 100 patients who underwent emergency exploratory laparotomies between January 2021 and June 2022 were the subject of a prospective study. Clinical information was gathered along with measurements of the serum albumin levels prior to surgery. Post-operative outcomes were recorded, including complications, length of stay in the hospital, and mortality. Results: When compared to patients with normal albumin levels, those with low serum albumin levels (3.5 g/dL) had a greater incidence of post-operative problems (62% vs. 38%, p <0.05) and longer hospital admissions (12.7 days vs. 8.4 days, p< 0.001). Additionally, hypoalbuminemic individuals had considerably greater mortality (16% vs. 6%, p <0.05). Conclusion: In emergency exploratory laparotomies, pre-operative serum albumin level is a useful predictor of postoperative outcomes. Increased complications, extended hospital stays, and greater mortality rates are all linked to hypoalbuminemia. The therapeutic significance of serum albumin evaluation for risk stratification, preoperative planning, and wellinformed decision-making in this complex surgical scenario is highlighted by these findings. To validate these findings and investigate potential strategies to enhance outcomes, more study is required.
- Subjects
SERUM albumin; ABDOMINAL surgery; SURGICAL emergencies; ABDOMINAL diseases; LENGTH of stay in hospitals
- Publication
Journal of Advanced Zoology, 2023, Vol 44, p882
- ISSN
0253-7214
- Publication type
Article