EFFECT OF HYPOALBUMINEMIA IN WOUND HEALING AND ITS RELATED COMPLICATIONS IN SURGICAL PATIENTS.

2021 ◽  
pp. 61-62
Author(s):  
Suraj Dhage ◽  
Madhuri Barabde ◽  
Rahul Hantodkar
Keyword(s):  
Wound Healing ◽  
Nutritional Status ◽  
Prospective Study ◽  
Emergency Surgery ◽  
Wound Dehiscence ◽  
Albumin Level ◽  
Surgical Patients ◽  
Related Complication ◽  
Operation Procedure ◽  
Normal Albumin

This prospective study used hypoalbuminemia as one of the indicator of nutritional status for patients who are admitted for elective or emergency surgery. It will be invaluable to have the predictors that can assess the complication before the operation procedure,so that deciet factors can be corrected in order to reduce wound healing complications (like wound infection,wound dehiscence and anastomotic leak). Effect of Hypoalbuminemia in wound healing and AIM: related complications in surgical patients. MATERIAL AND METHODS:This study conducted on patients admitted in surgery deparment of Dr. PDMMC & Hospital Amravati,for major elective or emergency surgery between 1Jan2021 to 30Aug2021 over 100 patients. Pati RESULT: ents with hypoalbuminemia are more tends to develop wound related complications than patients with normal albumin level. Serum albumin levels can be consider CONCLUSION: one of best predictor for wound related complication.

Nutrition

2019 ◽  
pp. 188-196
Author(s):  
George W. Williams
Keyword(s):  
Infectious Disease ◽  
Wound Healing ◽  
Critical Care ◽  
Nutritional Status ◽  
Respiratory Function ◽  
Surgical Patients ◽  
Nutritional Management ◽  
Equal Degree ◽  
Perioperative Nutrition

Nutrition is the second of two principal concepts (the first being infectious disease) in critical care not heavily emphasized in core anesthesiology training for reasons that are obvious. Optimal nutritional management is imperative to achieve positive outcomes in surgical patients. Wound healing, mobilization, and respiratory function are all particularly affected by nutritional status, and the optimal application assessment of nutrition directly affects surgical patients in the long term. Clinically, many physicians may take nutrition for granted and potentially conclude that it is not acutely important. Following consuming this content, the reader will be better equipped to educate their colleagues on the optimal assessment and application of perioperative nutrition. This chapter provides clinically useful and examination-oriented substrate to an equal degree, while being optimally digestible by the reader (no pun intended).

Hubungan IMT dan Kadar Albumin berhubungan dengan Penyembuhan Luka

1970 ◽  
Vol 4 (1) ◽  
Author(s):  
Syahrul Said ◽  
Nurpudji A. Taslim ◽  
Burhanuddin Bahar
Keyword(s):  
Body Mass Index ◽  
Wound Healing ◽  
Food Intake ◽  
Length Of Stay ◽  
Nutritional Status ◽  
Body Mass ◽  
Gastrointestinal Surgery ◽  
Albumin Level ◽  
Cross Sectional ◽  
Post Surgery

Pasien perioperatif gastrointestinal berisiko tinggi mengalami malnutrisi. Malnutrisi dapat menyebabkan hasil yang tidak diharapkan pada asuhan keperawatan perioperatif. Penelitian ini bertujuan untuk mengidentifikasi hubungan status gizi pasien bedah gastrointestinal berdasarkan parameter antropometri (Indeks Massa Tubuh, Tebal Lipatan Kulit, dan Lingkar Lengan Atas) dan klinis (albumin dan tingkat hemoglobin) dengan penyembuhan luka dan lama rawat inap, serta mengidentifikasi asupan makanan pasien pra dan pasca operasi. Penelitian cross-sectional ini mengukur 38 pasien yang menjalani pembedahan gastrointestinal di sebuah rumah sakit umum daerah di Indonesia. IMT, TLK, LLA, albumin dan kadar hemoglobin diukur sebelum dan sesudah operasi. asupan makanan diukur dengan 24 jam makanan Recall. Sementara penyembuhan luka pasien diukur pada hari ke-3 dan ke-7 hari pasca pembedahan. Terjadi peningkatan prevalensi malnutrisi pada pasien sebesar 60% selama tinggal di rumah sakit. IMT dan kadar albumin secara bermakna berhubungan dengan penyembuhan luka (p <0,05). Rerata lama rawat inap pasien dengan IMT normal (13,8 ± 5,6 hari) lebih pendek dari pasien gizi kurang (27,8 ± 17,7 hari) dan pasien gizi lebih (22,4 ± 11,6 hari). Asupan pasien umumnya di bawah kebutuhan mereka. IMT, tingkat albumin, dan asupan makanan memiliki peran penting untuk penyembuhan luka dan lama rawat inap pasien pembedahan gastrointestinal di rumah sakit. Rumah sakit harus melakukan penilaian awal status gizi pasien (setidaknya IMT dan kadar albumin) untuk mengidentifikasi kebutuhan pasien, dan memberikan intervensi yang tepat sebelum dan setelah operasi.Kata kunci: Kadar albumin, lama rawat inap, penyembuhan luka, status gizi. Body Mass Index and Albumin Level related to Wound HealingAbstractPatients with gastrointestinal perioperative are at high risk of being malnutrition. Malnutrition could cause an adverse outcome of perioperative nursing care. This study aimed to identify the relationship of nutritional status of gastrointestinal surgical patients based on anthropometrical (Body Mass Index, Tricep Skin Fold, Mid Arm Circumference) and clinical laboratory (albumin and haemoglobin level) parameters to wound healing and length of stay (LOS), and identify food intake of patients pre and post surgery. This cross-sectional study included 38 patients who were undergoing gastrointestinal surgery at a regional hospital in Indonesia. BMI, TSF, MAC, albumin and hemoglobin level were measured pre and post surgery. Food intake was measured by 24 hours Food Recall. While patients wound healing was measured on the 3rd and 7thday of surgery. Malnutrition among patients increases 60% during the stay in the hospital. BMI and albumin level were significantly related to wound healing (p<0,05). The average LOS of patients with normal BMI (13.8 ± 5.6 days) was shorter than the underweight patient (27.8 ± 17.7 days) and overweight patients (22.4 ± 11.6 days). Intake of patients was generally under the need of their body. BMI status, albumin level, and food intake play a significant role to wound healing and length of stay patient gastrointestinal surgery at the hospital. The hospital should perform an initial assessment (at least BMI and albumin level) of nutritional status of patients to identify the need for patients, and provide appropriate intervention before and after surgery.Keywords: Albumin level, length of stay, nutritional status, wound healing.

HUBUNGAN STATUS GIZI DENGAN KECEPATAN PENYEMBUHAN LUKA OPERASI PADA ANAK DI INSTALASI RAWAT INAP A BLU RSU PROF. Dr. R. D. KANDOU MANADO

e-NERS ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Rusmini . ◽  
Jeavery Bawotong ◽  
Gresty Masi
Keyword(s):  
Wound Healing ◽  
Nutritional Status ◽  
Nutritional Support ◽  
Statistical Tests ◽  
Surgical Patients ◽  
Cross Sectional ◽  
Weak Association ◽  
Healing Of Wounds ◽  
Resistance To Infection ◽  
Positive Pattern

Abstract: Good nutritional status is important in wound healing. Mal nutritionin surgical patients can affect the morbidity due to disruption of wound healing and decreased resistance to infection. The research objective was to identification of nutritional status relationship with the speed of wound healing in children Installing A BLU Hospital In patient Prof. DR. R.D. Kandou Manado. This study uses correlation, cross-sectional approach. The sample of 25 patients. The collection of data through observation and questionnaires. The results showeda no rmalnutritional status as many as 10 patients (40%) showed healing of wounds ≤5 days, while only 1 patient (4%) with sufficient nutrition having wound healing ≥5 days. Based on statistical tests there was no association between nutritional status at speeds wound healing in children (p=0.825) and the correlation coefficient or (r=0.047) indicating that indicates the level of a weak association with the positive pattern. Conclusions The clinical studyis very influential on the nutritional status of wound healing in which nutritional support showed a betterhealing process in surgical outcomes were good but the Stats test showed there was no correlation between the two variables. Keywords: Nutritional Status, Children, Wounds Operations, Wound healing.     Abstrak: Status gizi yang baik merupakan hal penting dalam penyembuhan luka operasi. Malnutrisi pada pasien bedah dapat mempengaruhi morbiditas karena terganggunya penyembuhan luka dan menurunnya daya tahan tubuh terhadap infeksi. Tujuan penelitian adalah untuk teridentifikasinya hubungan status gizi dengan kecepatan penyembuhan luka operasi pada anak di Instalasi Rawat Inap A BLU RSU Prof. DR. R. D. Kandou Manado. Metode penelitian korelasi dengan pendekatan cross sectional. Sampel 25 pasien. Pengumpulan data melalui pengamatan dan kuesioner. Hasil penelitian menunjukan status gizi yang normal sebanyak 10 pasien (40%) menunjukan penyembuhan luka ≤ 5 hari sedangkan hanya 1 pasien (4%) dengan gizi yang cukup  memiliki penyembuhan luka ≥ 5 hari. Berdasarkan uji statistik menunjukkan tidak ada hubungan yang bermakna antara status gizi dengan kecepatan penyembuhan luka operasi (p = 0,825) dan koefisien korelasi atau (r = 0,047) yang menunjukan tingkat hubungan yang lemah dengan pola positif. Kesimpulan dalam penelitian Secara klinis status nutrisi sangat berpengaruh pada penyembuhan luka dimana dukungan nutrisi menunjukan proses penyembuhan yang lebih baik pada hasil bedah yang baik tetapi pada uji statistik menunjukan bahwa tidak ada hubungan antara kedua variabel. Kata Kunci : Status Gizi, Anak, Luka Operasi, Penyembuhan luka.

scholarly journals Dietary management of surgical patients: effects on incisional wound healing

2021 ◽  
Vol 2 (2) ◽  
pp. 243-254
Author(s):  
H. M. El Banna ◽  
K. G. Tolba ◽  
O. A. Darwish
Keyword(s):  
Wound Healing ◽  
Nutritional Status ◽  
University Hospital ◽  
Surgical Patients ◽  
Control Group ◽  
Blood Picture ◽  
Total Hospital ◽  
Before And After ◽  
Hospital Stays ◽  
Experimental Group

A study of 38 patients was undertaken at the main University Hospital in Alexandria. The sample was divided into a control group and an experimental group. Findings show statistically significant differences between the two groups in the level of education, but no difference in blood picture, body mass index or nutritional status. There was a difference in the rate of wound healing in the two groups, and a relationship between the nutritional status and wound healing in the control group. Total hospital stays for the control group were longer than those for the experimental group. The nutritional status of surgical patients, as well as their food intake, should be evaluated at short intervals before and after surgery

Hubungan Status Gizi Dengan Proses Penyembuhan Luka Di Rsud H. Andi Sulthan Daeng Radja Kabupaten Bulukumba

2017 ◽  
Vol 2 (1) ◽  
pp. 20-28
Author(s):  
Fitriani ◽  
Tenriwati
Keyword(s):  
Wound Healing ◽  
Nutritional Status ◽  
Healing Process ◽  
Data Retrieval ◽  
Observational Research ◽  
Wound Healing Process ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test

At present, the incidence of injuries in Indonesia is quite high, as seen from data on traffic accidents in the general public. There are several factors that affect wound healing, one of which is nutritional status. Based on the preliminary data retrieval conducted by researchers in the seruni surgery room in the last 1 month namely in March, it was found that the number of wounded patients was 109 patients, where the number of men was 78 (71.56%) while the number of women was 31 ( 28.44%) The purpose of this study was to determine the relationship between nutritional status and the wound healing process in RSUD. H. Andi. Sulthan Daeng Radja Kab. Bulukumba. This research uses the type of design of this research is quantitative research. This type of research uses analytic observational research with cross sectional approach. The sample of this study were 41 respondents taken by purposive sampling method. Data analysis in this study used the chi-square test (chi square test). The results of the analysis used the chi-square statistical test with a confidence level (α = 0.05). Based on the results of this test, the p value is 0.001, thus p <α (0.001 <0.05), then Ho is rejected and Ha is accepted. The conclusion of this study is that there is a relationship between nutritional status and the process of wound healing in RSUD. H. Andi. Sulthan Daeng Radja Kab. Bulukumba. Researchers suggest that this study be used as a material consideration in the fulfillment of nutrition in wound care patients in RSUD.H.A. Sulthan Daeng Radja Kab. Bulukumba and this research can be continued by conducting research related to the wound healing process and linking it with other variables.

scholarly journals The management of surgical patients in the emergency setting during COVID-19 pandemic: the WSES position paper

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Belinda De Simone ◽  
Elie Chouillard ◽  
Massimo Sartelli ◽  
Walter L. Biffl ◽  
Salomone Di Saverio ◽  
...  
Keyword(s):  
Systematic Review ◽  
Emergency Surgery ◽  
Healthcare Workers ◽  
Mass Casualty ◽  
Position Paper ◽  
Surgical Patients ◽  
Nasopharyngeal Swab ◽  
Emergency Setting ◽  
Open Approach ◽  
Rt Pcr

Abstract Background Since the COVID-19 pandemic has occurred, nations showed their unpreparedness to deal with a mass casualty incident of this proportion and severity, which resulted in a tremendous number of deaths even among healthcare workers. The World Society of Emergency Surgery conceived this position paper with the purpose of providing evidence-based recommendations for the management of emergency surgical patients under COVID-19 pandemic for the safety of the patient and healthcare workers. Method A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA-P) through the MEDLINE (PubMed), Embase and SCOPUS databases. Synthesis of evidence, statements and recommendations were developed in accordance with the GRADE methodology. Results Given the limitation of the evidence, the current document represents an effort to join selected high-quality articles and experts’ opinion. Conclusions The aim of this position paper is to provide an exhaustive guidelines to perform emergency surgery in a safe and protected environment for surgical patients and for healthcare workers under COVID-19 and to offer the best management of COVID-19 patients needing for an emergency surgical treatment. We recommend screening for COVID-19 infection at the emergency department all acute surgical patients who are waiting for hospital admission and urgent surgery. The screening work-up provides a RT-PCR nasopharyngeal swab test and a baseline (non-contrast) chest CT or a chest X-ray or a lungs US, depending on skills and availability. If the COVID-19 screening is not completed we recommend keeping the patient in isolation until RT-PCR swab test result is not available, and to manage him/she such as an overt COVID patient. The management of COVID-19 surgical patients is multidisciplinary. If an immediate surgical procedure is mandatory, whether laparoscopic or via open approach, we recommend doing every effort to protect the operating room staff for the safety of the patient.

scholarly journals Risk factors for the failure to achieve normal albumin serum levels after albumin transfusion in neonates

2016 ◽  
Vol 56 (3) ◽  
pp. 129
Author(s):  
Nadya Arafuri ◽  
Pudjo Hagung Widjajanto ◽  
Ekawaty L. Haksari
Keyword(s):  
Risk Factors ◽  
Critical Illness ◽  
Very Low Birth Weight ◽  
Significant Risk ◽  
Albumin Level ◽  
Control Group ◽  
Case Group ◽  
Severe Bleeding ◽  
Normal Albumin ◽  
Neonatal Ward

Background Albumin transfusion for the treatment of neonatal hypoalbuminemia may reduce morbidity. In conditions with disrupted endothelial integrity (e.g., sepsis and critical illness), the administered albumin may leak into the interstitial space, hence, serum albumin levels may fall below expected levels after transfusion. To date, few studies have been done to evaluate the risk factors for failure to achieve normal neonatal albumin levels after transfusion.Objectives To determine the risk factors for failure to achieve normal neonatal albumin levels after transfusion.Methods We performed a case-control study in the Neonatal Ward of Dr. Sardjito Hospital from 2007 to 2012. Normal albumin level was defined as above 3 g/dL. The case group included neonates with post-transfusion albumin levels <3 g/dL and the control group included those with post-transfusion albumin ≥3 g/dL. Subjects received intravenous transfusions of 25% or 20% albumin according to the clinical standard of the Neonatal Ward of Dr. Sardjito Hospital. Neonates with very low birth weight, severe birth trauma, burn injuries, severe bleeding, or incomplete medical records were excluded. The data were analyzed with logistic regression test.Results From January 2007 to December 2012, 124 neonates were enrolled in the study. Multivariate analysis showed that low albumin levels before transfusion (OR 12.27; 95%CI 2.17 to 69.30), presence of critical illness (OR 4.01; 95%CI 1.49 to 10.79), diagnosis of sepsis (OR 3.56; 95%CI 1.36 to 9.32), and the >24-hour interval between albumin examination and transfusion (OR 0.06; 95%CI 0.01 to 0.37) were significant risk factors affecting the failure to achieve normal albumin levels.Conclusions Failure to achieve normal albumin levels after transfusion in neonates was significantly associated with low albumin level prior to transfusion, critical illness, sepsis, and >24-hour interval between transfusion and post-transfusion albumin examination.[Paediatr Indones. 2016;56:129-33.].

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