AI Article Synopsis
- Elderly patients are at a higher risk of protein-energy malnutrition (PEM), which contributes to increased complications and mortality rates.
- Researchers conducted a study on geriatric trauma patients to investigate the link between low albumin levels at emergency department admission and in-hospital complications.
- The results indicated that patients with hypoalbuminemia were twice as likely to experience complications within 30 days post-admission, highlighting the importance of albumin levels as a predictor of health outcomes in this population.
Article Abstract
Background: Elderly patients are at an increased risk of protein-energy malnutrition (PEM) which increases the risk of morbidity/mortality. We evaluated the association between hypoalbuminemia at the time of emergency department (ED) admission and in-hospital complications among geriatric trauma patients.
Methods: This was an ambidirectional cohort study of geriatric (≥55 years) trauma patients treated at a Level I trauma center between May 2013 and March 2014. The exposure of interest was albumin level at ED admission (<3.6 g/dL [PEM] or ≥3.6 g/dL (No PEM)]. The outcome of interest was 30-day incidence of complications.
Results: A total of 130 patients met study eligibility. Of these, 85 (65%) patients were in the PEM group. After adjusting for tube feeding and injury severity score, PEM at admission was associated with a 2-fold increase in the risk of 30-day overall hospital complications (hazard ratio 2.1, 95% confidence interval 1.1 to 3.8).
Conclusion: Serum albumin level at ED admission, but not prealbumin level, is a significant predictor of in-hospital complications in geriatric trauma patients.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4821821 | PMC |
| http://dx.doi.org/10.1016/j.amjsurg.2015.06.013 | DOI Listing |
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