Evaluation of the pattern of human albumin utilization at a university affiliated hospital

BACKGROUND: Albumin is a protein colloidal solution that possesses great value in the clinic, particularly for the resuscitation of critically ill patients. It has accounted for a high percentage of the cost in our center. This study evaluates the appropriateness of albumin usage at Masih Daneshvari Hospital, Tehran, Iran.

METHODS: This study evaluated 69 patient charts. Data included patient demographics, ward of admission, primary reasons for prescribing albumin, and details of albumin use. Possible correlations between the appropriateness of albumin usage, the number of albumin vials, and mortality rate were analyzed.

RESULTS: Albumin was prescribed appropriately in 63.8% of patients. Cardiac surgery accounted for 37.3% of all indications. The most prevalent inappropriate indication of albumin was for mild hypoalbuminemia and nutritional support. There was a significant correlation between the number of used albumin vials and mortality rate. In conclusion, the albumin use in Masih Daneshvari Hospital was not completely in accordance with the accredited references.

CONCLUSION: Albumin is an expensive medication prescribed unnecessarily for many patients. Using the clinical pharmacist's prepared guideline could minimize the situations where its administration is not needed.

Medienart:

E-Artikel

Erscheinungsjahr:

2012

Erschienen:

2012

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Archives of Iranian medicine - 15(2012), 2 vom: 15. Feb., Seite 85-7

Sprache:

Englisch

Beteiligte Personen:

Talasaz, Azita Hajhossein [VerfasserIn]
Jahangard-Rafsanjani, Zahra [VerfasserIn]
Ziaie, Shadi [VerfasserIn]
Fahimi, Fanak [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Serum Albumin

Anmerkungen:

Date Completed 23.05.2012

Date Revised 31.03.2022

published: Print

Citation Status MEDLINE

doi:

012152/AIM.007

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM215013441