دورية أكاديمية
Effect of Preoperative Albumin Levels on Outcomes in Patients Undergoing Left Ventricular Device Implantation
| العنوان: | Effect of Preoperative Albumin Levels on Outcomes in Patients Undergoing Left Ventricular Device Implantation |
|---|---|
| المؤلفون: | Go, Pauline H, Hodari, Arielle, Nemeh, Hassan, Borgi, Jamil, Lanfear, David E, Williams, Celeste, Paone, Gaetano, Morgan, Jeffrey A |
| المصدر: | Surgery Articles |
| بيانات النشر: | Henry Ford Health Scholarly Commons |
| سنة النشر: | 2015 |
| المجموعة: | Henry Ford Health System Scholarly Commons |
| مصطلحات موضوعية: | Adolescent, Adult, Aged, Female, Heart Failure, Heart-Assist Devices, Humans, Hypoalbuminemia, Insulin, Long-Acting, Regular, Human, Male, Middle Aged, Preoperative Period, Retrospective Studies, Serum Albumin, Treatment Outcome, Young Adult |
| الوصف: | Hypoalbuminemia is a well-known predictor of morbidity and mortality in cardiac surgery. Our aim was to establish the impact of serum albumin on outcomes after left ventricular assist device (LVAD) implantation. This was a single-institution retrospective review, including all patients who underwent LVAD implantation between March 2006 and June 2014. Two hundred patients were included in the analysis. Mean serum albumin was 3.27 ± 0.47 g/dl, with 7% in the low albumin group (3.5 mg/dl). Lower albumin was associated with a significant increase in postoperative renal failure (42.9 vs. 16.5 vs. 17.3%; p = 0.05) and prolonged hospitalization (median 28.5 vs. 16 vs. 15.5 days; p = 0.008). Six month, 1 year, and 5 year survival was 79%, 79%, and 49% with low, 84%, 78%, and 51% with mid-range, and 94%, 88%, and 60% with normal albumin, respectively (p = 0.22). Preoperative hypoalbuminemia is associated with postoperative acute renal failure (ARF) and prolonged hospitalization after LVAD implantation, with no effect on overall survival. Hypoalbuminemia is most likely a marker of advanced disease and should not, in itself, be considered a contraindication to LVAD candidacy. |
| نوع الوثيقة: | text |
| وصف الملف: | application/pdf |
| اللغة: | unknown |
| العلاقة: | https://scholarlycommons.henryford.com/surgery_articles/271Test; https://scholarlycommons.henryford.com/context/surgery_articles/article/1272/viewcontent/Effect_of_Preoperative_Albumin_Levels_on_Outcomes_in_Patients_Undergoing_Left_Ventricular_Device_Implantation.pdfTest |
| الإتاحة: | https://scholarlycommons.henryford.com/surgery_articles/271Test https://scholarlycommons.henryford.com/context/surgery_articles/article/1272/viewcontent/Effect_of_Preoperative_Albumin_Levels_on_Outcomes_in_Patients_Undergoing_Left_Ventricular_Device_Implantation.pdfTest |
| رقم الانضمام: | edsbas.307148F2 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |