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Admission serum albumin and prognosis in acquired immunodeficiency syndrome

Boone, M.C.
Sue, D.Y.
Safran, C.
Published in Archives of Internal Medicine. 1993, vol. 153, no. 3, p. 400
Abstract We studied the serum albumin level within 48 hours of hospitalization for acute illness to predict in-hospital death, length of stay, and readmission in 15,511 patients older than 40 years. Patients with low serum albumin levels (less than 34 g/L), who made up 21% of the population, were more likely to die, had longer hospital stays, and were readmitted sooner and more frequently than patients with normal albumin levels. The in-hospital mortality was 14% among patients with low albumin levels, as compared with 4% among patients with normal levels. Although the serum albumin level was a nonspecific marker, it was a stronger predictor of death, length of stay, and readmission than age. We conclude that the serum albumin level on admission is an important variable that should be incorporated in severity-of-illness measures based on physiologic indexes.
Keywords AdultAgedAged, 80 and overBiological Markers/CHBoston/EPFemaleHospital Bed Capacity, 500 and overHospital Mortality/*HumanLength of Stay/*SNMaleMiddle AgeMultivariate AnalysisPatient Readmission/*Predictive Value of TestsRegression AnalysisRetrospective StudiesSerum Albumin/*ANSeverity of Illness IndexSupport, Non-U.S. Gov'tSupport, U.S. Gov't, P.H.S.Medline FileHealth Planning & Administration File
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BOONE, M.C. et al. Admission serum albumin and prognosis in acquired immunodeficiency syndrome. In: Archives of Internal Medicine, 1993, vol. 153, n° 3, p. 400. https://archive-ouverte.unige.ch/unige:28060

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