Hipoalbuminemia praoperasi pasien kanker kolorektal terhadap risiko komplikasi pascaoperasi dan lama rawat inap
Abstract: Malnutrition is most
commonly found in gastrointestinal cancer that affects the result of an
operation. Albumin serum is an effective and simple way of assessing risk which
is associated with malnutrition intensity so that it is generally used as the
prognostic index for the development of the incidence of colorectal cancer
postoperative complications.
Objective: To identify the effect of preoperative hypoalbumin to the
incidence of postoperative complications and length of stay of colorectal cancer
in patients.
Method: The study used the quantitative approach with a nonconcurrent
cohort (retrospective analysis) design. The population was patients diagnosed
having colorectal cancer who would undergo an operation at Kasih Ibu, Dr. Oen,
and Panti Waluyo Hospital of Surakarta. Data analysis used Chi-Square test and
logistic regression.
Results: Hypoalbumin, either based on admission or pre-operation, was
significant risk factor for the incidence of post operative complications in
colorectal cancer patients as well as age and American Society of
Anesthesiologist Physical Status Classification (ASA) status. The result of
multivariate analysis showed age of 20-59 years (OR=2), hypoalbumin based on
admission (2.1 times) and preoperation (1.9 times) were risk factors for the
incidence of postoperative complication (infection). ASA status III-IV had risk
2.8 times for the incidence of postoperative sepsis complications and 3.7 times
for mortality than ASA status I-II. Status of hypoalbumin did not influence
total length of stay or postoperative length of stay but age influenced
postoperative length of stay.
Conclusion: Hypoalbumin influenced the incidence of postoperative
complications in colorectal cancer patients, particularly infection
complication; whereas factors of age and ASA status were external factors
strongly influenced. Hypoalbumin did not influence length of stay. Age was an
external factor that strongly influenced postoperative length of stay.
Keywords: hypoalbumin;
postoperative complications; length of stay; age; ASA status; cancer
Penulis: Yohanes Benny
Kode Jurnal: jpkesmasdd130677