Prognostic Value of Clinical Nutritional Assessment in Canine Patients.

Прогностическая ценность клинической оценки нутритивного статуса у собак
Kathryn E. Michel
1993-07-01

canine patientsclinical nutritional assessmenthypoalbuminemiaprognostic clinical outcomeserum albumin
This makes it difficult to identify the patient population most likely to benefit from nutritional support. Five clinically used indicators of nutritional status (serum albumin, hematocrit, hemoglobin, total peripheral lymphocyte count, and a “body condition” score) were evaluated on admission for 105 dogs that wer hospitalized at the Veterinary Hospital of the University of Pennsylvania for serious illness or major surgery. The prognostic relationship between these admission measurements and clinical outcome (discharged vs. died in hospital) was examined. Abnormally low serum albumin, hematocrit, and hemoglobin were associated with poor ultimate clinical outcome (p< 0.01). Hypoalbuminemia has a strong association with protein‐calorie malnutrition although serum levels of albumin can be affected by many non‐nutritional processes. Admission serum albumin level can predict clinical outcome and may identify a population of critically ill canine patients that could benefit from nutritional support.
1
Admission serum albumin showed prognostic value for predicting clinical outcome in critically ill canine patients.
2
Five admission nutritional-status indicators were evaluated in 105 hospitalized dogs with serious illness or undergoing major surgery.
3
Low admission serum albumin, hematocrit, and hemoglobin were significantly associated with poor outcomes, defined as death during hospitalization (p<0.01).
4
Serum albumin may help identify dogs likely to benefit from nutritional support, although non-nutritional processes can also alter albumin levels.

hospitalized canine patients with serious illness or undergoing major surgery

the prognostic association of admission nutritional-status indicators, particularly serum albumin, with in-hospital clinical outcome and identification of patients who may benefit from nutritional support

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1993-07-01
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Kathryn E. Michel
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