Association of nadir serum albumin during hospitalization with mortality in ICU patients with spontaneous intracerebral hemorrhage - Scorecard - MDSpire
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Link Between Lowest Serum Albumin Levels During Hospital Stay and Mortality in ICU Patients with Spontaneous Intracerebral Hemorrhage
Clinical Scorecard: Link Between Lowest Serum Albumin Levels During Hospital Stay and Mortality in ICU Patients with Spontaneous Intracerebral Hemorrhage
At a Glance
Category
Detail
Condition
Spontaneous Intracerebral Hemorrhage (ICH)
Key Mechanisms
Hypoalbuminemia associated with increased mortality and prolonged ICU stay.
Target Population
Adult ICU patients with spontaneous ICH
Care Setting
Intensive Care Unit (ICU)
Key Highlights
28-day mortality increased from 17.2% in >35 g/L group to 39.3% in <30 g/L group.
Lower albumin levels correlated with longer ICU and hospital stays.
Nadir serum albumin levels are independently associated with increased mortality.
Prognostic value of albumin varies by mechanical ventilation status.
Significant interaction by MV status for mortality outcomes.
Guideline-Based Recommendations
Diagnosis
Identify patients with spontaneous ICH using ICD codes.
Management
Monitor serum albumin levels during hospitalization.
Monitoring & Follow-up
Assess nadir serum albumin levels for risk stratification.
Risks
Increased mortality associated with lower serum albumin levels.
Patient & Prescribing Data
Adult ICU patients with spontaneous ICH.
Lower nadir serum albumin levels indicate higher risk of mortality.
Clinical Best Practices
Utilize nadir serum albumin levels for prognostic assessment.
Consider mechanical ventilation status when evaluating mortality risk.
