|
Sign In to gain access to subscriptions and/or personal tools.
|
Incidence and Mortality of Hypoalbuminemic Patients in Hospitalized Veterans
George F. Reinhardt, M.D.
From the Departments of Surgery and Dietetics, Veterans Administration Hospital, Hines, Illinois and the Department of Surgery, Loyola University Stritch School of Medicine, Maywood, Illinois
Jeanne W. Myscofski, R.D.
From the Departments of Surgery and Dietetics, Veterans Administration Hospital, Hines, Illinois and the Department of Surgery, Loyola University Stritch School of Medicine, Maywood, Illinois
Donna B. Wilkens, R.D.
From the Departments of Surgery and Dietetics, Veterans Administration Hospital, Hines, Illinois and the Department of Surgery, Loyola University Stritch School of Medicine, Maywood, Illinois
Philip B. Dobrin, M.D., PH.D.
From the Departments of Surgery and Dietetics, Veterans Administration Hospital, Hines, Illinois and the Department of Surgery, Loyola University Stritch School of Medicine, Maywood, Illinois
James E. Mangan, JR.,, B.S.
From the Departments of Surgery and Dietetics, Veterans Administration Hospital, Hines, Illinois and the Department of Surgery, Loyola University Stritch School of Medicine, Maywood, Illinois
Robert T. Stannard, B.A.
From the Departments of Surgery and Dietetics, Veterans Administration Hospital, Hines, Illinois and the Department of Surgery, Loyola University Stritch School of Medicine, Maywood, Illinois
The purpose of this study was to determine the incidence of hypoalbuminemia (HAlb) in a hospitalized male veteran population. Computerized surveillance of all clinical serum albumin determinations was performed during a 60-day interval. Each patient with an albumin level of 3.4 g/100 ml or less was identified and classified as an A, B, C, or D patient, based on the lowest recorded albumin level. After classification, each patient was followed either until death or for a minimum of 60 days. From a population of 2060 hospitalized veterans, 509 were identified as having HAlb for an incidence of 24.7%. The 30-day mortality rate for these 509 patients was 24.6%. The highest mortality rate, 62.0%, was seen in 50 group D patients whose albumin levels fell to 2.0 or below. For all HAlb patient groups, a linear correlation could be demonstrated between the level of HAlb observed and the subsequent 30-day mortality rate. It is concluded that, in our hospitalized veteran population, HAlb is a common finding and is associated with an increased 30-day mortality rate.
Journal of Parenteral and Enteral Nutrition, Vol. 4, No. 4,
357-359 (1980)
DOI: 10.1177/014860718000400404
 CiteULike  Complore  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter What's this?
This article has been cited by other articles:
|
|
|
|
 
E. Meresh, M. Sprang, M. Popenhagen, T. Didenko, C. Lowden, and K. Shah
Appetite Stimulation After Surgery in a High Nutrition Risk Adolescent With Myotonic Dystrophy and Depression Case Report
ICAN: Infant, Child, & Adolescent Nutrition,
February 1, 2010;
2(1):
32 - 36.
[Abstract]
[PDF]
|
|
|
|
|
|
|
W J Marshall
Nutritional assessment: its role in the provision of nutritional support
J. Clin. Pathol.,
October 1, 2008;
61(10):
1083 - 1088.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
I Morris, N McCallion, A El-Khuffash, and E J Molloy
Serum albumin and mortality in very low birth weight infants
Arch. Dis. Child. Fetal Neonatal Ed.,
July 1, 2008;
93(4):
F310 - F312.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. A. El-Solh, C. Pietrantoni, A. Bhat, A. T. Aquilina, M. Okada, V. Grover, and N. Gifford
Microbiology of Severe Aspiration Pneumonia in Institutionalized Elderly
Am. J. Respir. Crit. Care Med.,
June 15, 2003;
167(12):
1650 - 1654.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A Durward, A Mayer, S Skellett, D Taylor, S Hanna, S M Tibby, and I A Murdoch
Hypoalbuminaemia in critically ill children: incidence, prognosis, and influence on the anion gap
Arch. Dis. Child.,
May 1, 2003;
88(5):
419 - 422.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. A. Freitag, K. E. Saker, E. Thomas, and J. Kalnitsky
Acute Starvation and Subsequent Refeeding Affect Lymphocyte Subsets and Proliferation in Cats
J. Nutr.,
October 1, 2000;
130(10):
2444 - 2449.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
S. Chan, K. C. McCowen, and G. L. Blackburn
Nutrition Management in the ICU
Chest,
May 1, 1999;
115
(2009):
145S - 148S.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. L. Koretz
The Reading Corner. VII. Interpreting Tests
Nutr Clin Pract,
April 1, 1999;
14(2):
69 - 72.
[PDF]
|
|
|
|
|
|
|
D. K. Heyland, E. Konopad, C. Alberda, L. Keefe, C. Cooper, and B. Cantwell
How Well Do Critically Ill Patients Tolerate Early, Intragastric Enteral Feeding? Results of a Prospective, Multicenter Trial
Nutr Clin Pract,
February 1, 1999;
14(1):
23 - 28.
[Abstract]
[PDF]
|
|
|
|
|
|
|
V. W. Vanek
The Use of Serum Albumin as a Prognostic or Nutritional Marker and The Pros and Cons of IV Albumin Therapy
Nutr Clin Pract,
June 1, 1998;
13(3):
110 - 122.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. Klein, J. Kinney, K. Jeejeebhoy, D. Alpers, M. Hellerstein, M. Murray, and P. Twomey
Nutrition Support in Clinical Practice: Review of Published Data and Recommendations for Future Research Directions: Summary of a Conference Sponsored by the National Institutes of Health, American Society for Parenteral and Enteral Nutrition, and American Society for Clinical Nutrition
JPEN J Parenter Enteral Nutr,
May 1, 1997;
21(3):
133 - 156.
[Abstract]
[PDF]
|
|
|
|
|
|
|
F. Friedenberg, G. Jensen, N. Gujral, L. E. Braitman, and G. M. Levine
Serum Albumin Is Predictive of 30-Day Survival After Percutaneous Endoscopic Gastrostomy
JPEN J Parenter Enteral Nutr,
March 1, 1997;
21(2):
72 - 74.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. Spiess, V. Mikalunas, S. Carlson, M. Zimmer, and R. M. Craig
Albumin Kinetics in Hypoalbuminemic Patients Receiving Total Parenteral Nutrition
JPEN J Parenter Enteral Nutr,
November 1, 1996;
20(6):
424 - 428.
[Abstract]
[PDF]
|
|
|
|
|
|
|
P. Charney
Nutrition Assessment in the 1990s: Where Are We Now?
Nutr Clin Pract,
August 1, 1995;
10(4):
131 - 139.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. G. Barton
Invited Review: Nutrition Support in Critical Illness
Nutr Clin Pract,
August 1, 1994;
9(4):
127 - 139.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. Hirsch, D. Bunout, P. De La Maza, H. Iturriaga, M. Petermann, G. Icazar, V. Gattas, and G. Ugarte
Controlled Trial on Nutrition Supplementation in Outpatients With Symptomatic Alcoholic Cirrhosis
JPEN J Parenter Enteral Nutr,
March 1, 1993;
17(2):
119 - 124.
[Abstract]
[PDF]
|
|
|
|
|
|
|
C. Steffes and D. Fromm
Is Preoperative Parenteral Nutrition Necessary for Patients With Predominantly Ileal Crohn's Disease?
Arch Surg,
October 1, 1992;
127(10):
1210 - 1212.
[Abstract]
[PDF]
|
|
|
|
|
|
|
H. Neal Reynolds, U. Borg, and D. Frankenfield
Full Protein Alimentation and Nitrogen Equilibrium in a Renal Failure Patient Treated With Continuous Hemodiafiltration: A Case Report of 67 Days of Continuous Hemodiafiltration
JPEN J Parenter Enteral Nutr,
July 1, 1992;
16(4):
379 - 383.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. P. Doweiko and D. J. Nompleggi
Reviews: The Role of Albumin in Human Physiology and Pathophysiology, Part III: Albumin and Disease States
JPEN J Parenter Enteral Nutr,
July 1, 1991;
15(4):
476 - 483.
[PDF]
|
|
|
|
|
|
|
M. W. Rich and C. A. Crecelius
Incidence, Risk Factors, and Clinical Course of Acute Renal Insufficiency After Cardiac Catheterization in Patients 70 Years of Age or Older: A Prospective Study
Arch Intern Med,
June 1, 1990;
150(6):
1237 - 1242.
[Abstract]
[PDF]
|
|
|
|
|
|
|
G. L. Brackeen, J. S. Dover, and C. L. Long
Serum Albumin: Differences in Assay Specificity
Nutr Clin Pract,
December 1, 1989;
4(6):
203 - 205.
[PDF]
|
|
|
|
|
|
|
J. A. Tayek
Invited Review: Albumin Synthesis and Nutritional Assessment
Nutr Clin Pract,
December 1, 1988;
3(6):
219 - 221.
[PDF]
|
|
|
|
|
|
|
B. S. Linn and D. S. Robinson
The Possible Impact of DRGs on Nutritional Status of Patients Having Surgery for Cancer of the Head and Neck
JAMA,
July 22, 1988;
260(4):
514 - 518.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. J. Reilly JR, S. F. Hull, N. Albert, A. Waller, and S. Bringardener
Economic Impact of Malnutrition: A Model System for Hospitalized Patients
JPEN J Parenter Enteral Nutr,
July 1, 1988;
12(4):
371 - 376.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. Braga, P. Baccari, S. Scaccabarozzi, E. Fiacco, G. Radaelli, G. Gallus, S. Dipalo, V. Dicarlo, and M. Cristallo
Prognostic Role of Preoperative Nutritional and Immunological Assessment in the Surgical Patient
JPEN J Parenter Enteral Nutr,
March 1, 1988;
12(2):
138 - 142.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. T. Dempsey and J. L. Mullen
Prognostic Value of Nutritional Indices
JPEN J Parenter Enteral Nutr,
September 1, 1987;
11(5_suppl):
109S - 114S.
[PDF]
|
|
|
|
|
|
|
F. Bozzetti
Nutritional Assessment from the Perspective of a Clinician
JPEN J Parenter Enteral Nutr,
September 1, 1987;
11(5_suppl):
115S - 121S.
[Abstract]
[PDF]
|
|
|
|
|
|
|
G. F. Reinhardt and L. D. Hiller
Preoperative Parenteral Nutrition: Minimizing Costs
Nutr Clin Pract,
August 1, 1987;
2(4):
155 - 159.
[PDF]
|
|
|
|
|
|
|
E. Hamaoui
Assessing the Nutrition Support Team
JPEN J Parenter Enteral Nutr,
July 1, 1987;
11(4):
412 - 421.
[PDF]
|
|
|
|
|
|
|
F. Bozzetti, S. Migliavacca, G. Gallus, G. Radaelli, A. Scotti, M. G. Bonalumi, M. Ammatuna, C. Sequeira, and G. Terno
"Nutritional" Markers as Prognostic Indicators of Postoperative Sepsis in Cancer Patients
JPEN J Parenter Enteral Nutr,
July 1, 1985;
9(4):
464 - 470.
[Abstract]
[PDF]
|
|
|
|
|
|
|
T. O. Lipman, T. O. Munyer, and C. Hall
Parenteral Nutrition and Nutritional Support in Veterans Administration Medical Centers
JPEN J Parenter Enteral Nutr,
July 1, 1983;
7(4):
385 - 386.
[Abstract]
[PDF]
|
|
|
|
|
