Evaluation of Clinical Utilization of Human Serum Albumin in Surgical Inpatients in A Hospital by Interna-tional Guidance
10.6039/j.issn.1001-0408.2016.29.08
- VernacularTitle:应用国际指南评价某院外科住院患者人血白蛋白临床使用情况
- Author:
Long MENG
;
Ning WANG
;
Ran FENG
;
Pan WANG
;
Yong CHEN
- Publication Type:Journal Article
- Keywords:
Human serum albumin;
Retrospective study;
Clinical application;
International guidance
- From:
China Pharmacy
2016;27(29):4061-4063
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To provide reference for rational use of human serum albumin for surgical inpatients. METHODS:The utilization of human serum albumin for surgical inpatients in a hospital during Jan.-Mar. 2014 was analyzed and evaluated by UHC Guidelines for the Use of Album,Nonprotein Colloid,and Crystalloid Solutions(2010 edition)and European Immune Globu-lin and Albumin Use Recommendation. RESULTS:Among the 556 patients,totally 895 human serum albumin application were con-ducted,mainly involving development of gastrointestinal surgery(29.7%),hepatobiliary surgery(25.9%)and cardiothoracic sur-gery(13.1%). The main reasons were correcting hypoalbuminemia(62.9%),followed by albumin supplemented during major sur-gery(7.9%)and alleviating ascites in patients with cirrhosis(4.4%);only 95 applications(10.6%)were considered appropriate. The most prevalent inappropriate reason was for correcting hypoalbuminemia. CONCLUSIONS:Human serum albumin in the surgi-cal inpatients in the hospital shows a large amount,and low consistent rate between indications and guidelines. The rational stan-dardized utilization of human serum albumin should be strengthened.
