WƌĞͲŽƉĞƌĂƟǀĞ Serum Albumin and Body Mass Index as Predictors of WŽƐƚͲ KƉĞƌĂƟǀĞ Morbidity and Mortality in Major Open Abdominal Surgeries

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Background: Healing is a catabolic process needing energy. Any mĂůnƵƚƌŝƟŽn leads to impaired wound healing. Some of the markers of the nƵƚƌŝƟŽnĂů status of the body that are ƌŽƵƟnĞůLJ used are the BMI and the levels of serum albumin of the ƉĂƟĞnƚƐ͘ In the current study we evaluated the role of serum albumin and Body Mass Index as predictors of ƉŽƐƚŽƉĞƌĂƟǀĞ morbidity and mortality both in ĞůĞcƟǀĞ and emergency major surgeries. Aims and ŽbũĞcƟǀĞƐ͗ 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 ƉĂƟĞnƚƐ and undergoing major abdominal surgeries. Those pregnant, having ƐŝŐnŝĮcĂnƚ cŽͲmŽƌbŝĚŝƟĞƐ were excluded. WƌĞͲŽƉĞƌĂƟǀĞ serum albumin measurements were done, BMI was calculated and ƉŽƐƚͲŽƉĞƌĂƟǀĞ morbidity & mortality were recorded. The data was compiled and standard ƐƚĂƟƐƟcĂů 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 ƌĞƐƉĞcƟǀĞůLJ compared to 4.984 days and 11.06 days in the hypoalbuminemia. There were higher cŽmƉůŝcĂƟŽnƐ in the ƉŽƐƚͲŽƉĞƌĂƟǀĞ period in those ƉĂƟĞnƚƐ with hypoalbuminemia and abnormal BMI. Conclusion: WƌĞͲŽƉĞƌĂƟǀĞ Serum albumin and BMI are ƐŝŐnŝĮcĂnƚ predictors of ƉŽƐƚͲŽƉĞƌĂƟǀĞ morbidity.