Early Evaluation of Serum Albumin Level in Pediatric Burned Patients

J. A. Shaba, Kadhum; Th. Ghanem, Hasan; R. Majeed, Suhad

	Early Evaluation of Serum Albumin Level in Pediatric Burned Patients
Kerbala Journal of Medicine
Article 16, Volume 2, Issue 5, 2009, Pages 681-686 PDF (0 K)
Authors
Kadhum J. A. Shaba; Hasan Th. Ghanem; Suhad R. Majeed
Abstract
background: Burn patients are unique in that not only do they reduce albumin synthesis in response to trauma, but also they experience accelerated albumin losses into their wound dressings and soft tissue. Methods: Serum albumin has been determined in 26 children with age ranged between (l-14) years and with total body surface area of burn (11-60%) during their initial few weeks of care. Their serum albumin levels were estimated at second day, seventh day and fourteenth day after burn. Intravenous albumin was administered by infusion of 1-2 g/kg/d when plasma Albumin fell bellow 2 g/100ml. or bellows 2.5 g/100ml in the presence of enteral feeding intolerance or pulmonary dysfunction, their further results were excluded. Results: The mean plasma Albumin was 3.062 g/100ml) at day 2 , 2.952 g/100ml at day 7 and 2.45 g/100ml at day 14 . The relationship between the surface area of burn and albumin concentration was not significant, (r = - 0.1111406). The value of albumin was found to be 0.752 g/dl under the normal average value (p< 0.005). Conclusion: Hypoalbuminemia is usual in pediatric burned patients especially after 7 -14 day of the accident, the period of high risk of septic complications. Keywords: Serum albumin, Hypoalbuminemia, Burn
Keywords
Serum albumin; Hypoalbuminemia; Burn

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