BACKGROUND Hippocrates recognized the side effects of malnutrition on the morbidity and mortality of patients. The most clinically useful parameter is serum albumin. It predicts perioperative morbidity and mortality. The main objective was to study the preoperative serum albumin and Body Mass Index as predictors of postoperative morbidity and mortality in elective major general surgeries. METHODS The study was conducted on 50 patients who underwent elective surgery at Calcutta National Medical College and Hospital, Kolkata between March 2013-Feb 2014. Z-Test and Fischer exact t-test were used for statistical analysis. Preoperative and post-operative parameters were taken. Preoperative parametersserum albumin level and body mass index. Post-operative parameters-morbidity and mortality. Permission from institutional ethics committee was obtained. RESULTS Out of 50 patients studied 18 (36%) were malignant and 32 (64%) were nonmalignant. 20 patients developed complications, 4 (20%) were malignant and 16 (80%) were non-malignant. Among the patients with malignancy (18) only 4 had complications, of which 2 (11%) were <3.0 g/dl and 2 (11%) between 3.1-3.5 g/dl. Albumin less than 2.5 g/dl (p<0.001) and BMI less than 20 Kg/m 2 (p<0.005) and greater than 30 Kg/m 2 (p <0.005) was associated with increase in postoperative complications. CONCLUSIONS The correlation between the serum albumin and complication rate was statistically significant in the malignant diseases when considered separately. Serum albumin < 3.0 g/dl was associated with increased post-operative morbidity and mortality.
Background: Nutritional assessment is essential for identifying patients who are at risk of developing complications related to significant malnutrition. The main objective was to study the incidence of nutritional status with two parameters-serum albumin and body mass index in elective major general surgeries. Method: Study area was Department of General Surgery, Calcutta National Medical College and Hospital; Kolkata. The study was carried out for a period of one year between Mar 2013 -Feb 2014. Sample size was 50 patients. Permission from Institutional Ethics Committee was obtained. Result: Out of 50 patients studied, 54% were males and 46% were females. The number of patients in the 31 -40 years age group was the highest (34%). The rate of complication was more when serum albumin level was less than 3.0 gm. /dl which is statistically significant. Conclusion: Serum albumin is a good indicator of postoperative complications. The patients with serum albumin < 3.0 g/dl had a higher complications rate which was statistically significant (p< 0.05).
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