Evaluation of the prognosis of acute respiratory distress syndrome patients by serum albumin and prealbumin
ZHANG Yi
Abstract：Objective To probe whether serum albumin and prealbumin can be used as a prognostic indica-tor of death by observing the relationship between serum albumin , prealbumin and death in hospitalized patients with acute respiratory distress syndrome (ARDS).Methods The clinical data of 50 cases of hospitalized patients with ARDS were retrospectively analyzed , the influence on mortality of different serum albumin and prealbumin levels was studyed, multi-factor Logistic regression analysis was carried on to pick out prognostic risk factors for death .Results Twenty-eight patients died and 22 survived, the serum albumin and prealbumin levels of the die group was lower than that of the survival group ( P<0.05 ) , the lung injury scores was higher than that of the survival group ( P<0.05 ) . The fatality rate of the low prealbumin group was higher than that of the normal or elevated prealbumin group ;the fa-tality rate of lower albumin group was higher than that of the normal albumin group (P<0.05).COPD history, diabe-tes history, albumin, prealbumin level and lung injury score were risk factors for prognosis of ARDS death , the OR values of albumin and prealbumin were 2.543 and 3.008 respectively .Conclusion Albumin and prealbumin could be used to predict the death prognosis of ARDS patients .
Keywords：AlbuminPrealbuminAcute respiratory distress syndrome ( ARDS)Prognosis evaluation
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 965-968 )