To evaluate the outcome of patients with perforation peritonitis by identification of high risk patient using serum albumin and serum cholesterol level at tertiary care hospital Ajmer, Rajasthan.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 4
Abstract
Background: Surgical site infection is a serious problem affecting about 2% of all surgical procedure. Advances in surgical sciences and care has not reduced the prevalence to such an extent. Various risk factors like Age, nutritional status, diabetes, smoking, obesity, altered immune status were reported in literature. Methods: We conducted this prospective cohort study in patients who underwent various surgeries in our institution after getting informed consent. Apart from the basic demographic profile, preoperative levels of albumin and cholesterol were measured along with preoperative, anesthetic and perioperative details. All statistical analysis was done in Epi-info statistical software. Results: Low level of serum albumin and serum total cholesterol may point to Death, SSIs and Increase length of hospital stay.In present study Serum albumin level less than 3.5 gm/dl was associated with increased postoperative death, SSIs, remote infection, delayed recovery,more hospital stay and the results are statistically significant also. There was an inverse relationship between them i.e. lower level of albumin, increases the chances of adverse outcome. Incidence of Death, SSIs, Duration of hospital stay in Patient with blood cholesterol levels (160-199) was less while it was higher in both low (<159)and high (≥200 mg/dl) cholesterol. Conclusion: Routine measurement of serum albumin and cholesterol at the time of admission will help in proper optimization of surgical patients so that potential SSI, Hospital stay and mortality could be reduced.
Authors and Affiliations
M. L. Soni
Keywords
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