WƌĞͲŽƉĞƌĂƟǀĞ Serum Albumin and Body Mass Index as Predictors of WÅ½ÆÆšÍ² KƉĞƌĂƟǀĞ Morbidity and Mortality in Major Open Abdominal Surgeries
Background: Healing is a catabolic process needing energy. Any mĂůnÆµÆšÆŒÅÆŸÅ½n leads to impaired wound healing. Some of the markers of the nÆµÆšÆŒÅÆŸÅ½nĂů status of the body that are ƌŽƵƟnĞůLJ used are the BMI and the levels of serum albumin of the ƉĂƟĞnÆšÆÍ˜ In the current study we evaluated the role of serum albumin and Body Mass Index as predictors of Æ‰Å½ÆÆšÅ½Æ‰ÄžÆŒÄ‚ƟǀĞ morbidity and mortality both in ĞůĞcƟǀĞ and emergency major surgeries. Aims and ŽbũĞcƟǀĞÆÍ— To determine the role of low serum albumin and abnormal BMI and to observe those developing any morbidity and mortality post ŽƉĞƌĂƟǀĞůLJ͘ Materials and methods: The study evaluated a total of 82 ƉĂƟĞnÆšÆ and undergoing major abdominal surgeries. Those pregnant, having ÆÅÅnÅÄ®cÄ‚nÆš cŽͲmŽƌbÅÄšÅÆŸÄžÆ were excluded. WƌĞͲŽƉĞƌĂƟǀĞ serum albumin measurements were done, BMI was calculated and Æ‰Å½ÆÆšÍ²Å½Æ‰ÄžÆŒÄ‚ƟǀĞ morbidity & mortality were recorded. The data was compiled and standard ÆÆšÄ‚ÆŸÆÆŸcĂů tests applied to analyze the data. Results: The study was male preponderant with 53 males and 29 females. Mean ĚƵƌĂƟŽn of stay in ICU and ward in those with normal albumin levels was 2.158 days and 8.68 days ÆŒÄžÆÆ‰ÄžcƟǀĞůLJ compared to 4.984 days and 11.06 days in the hypoalbuminemia. There were higher cŽmƉůÅcĂƟŽnÆ in the Æ‰Å½ÆÆšÍ²Å½Æ‰ÄžÆŒÄ‚ƟǀĞ period in those ƉĂƟĞnÆšÆ with hypoalbuminemia and abnormal BMI. Conclusion: WƌĞͲŽƉĞƌĂƟǀĞ Serum albumin and BMI are ÆÅÅnÅÄ®cÄ‚nÆš predictors of Æ‰Å½ÆÆšÍ²Å½Æ‰ÄžÆŒÄ‚ƟǀĞ morbidity.