TÌNH TRẠNG GIẢM ALBUMIN HUYẾT TƯƠNG Ở BỆNH NHÂN TRÊN 60 TUỔI LỌC MÁU CHU KỲ TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objectives: To investigate the prevalence of hypoalbuminemia and its association with selected clinical and paraclinical features in elderly patients with end-stage kidney disease (ESKD) undergoing maintenance hemodialysis. Methods: A prospective, cross-sectional descriptive, uncontrolled study was conducted on 72 maintenance hemodialysis patients aged over 60 years at the Department of Nephrology and Hemodialysis, Military Hospital 103 from June 2023 to June 2024. Results: The prevalence of hypoalbuminemia (serum albumin < 35 g/L) was 18.06%, with a mean albumin level of 38.16 ± 3.27 g/L. Patients with severe anemia (hemoglobin < 80 g/L) had significantly lower albumin levels compared to others (36.81 ± 3.61 vs. 38.71 ± 2.98 g/L; p = 0.023). Likewise, patients who experienced intradialytic hypotension within the past month had significantly lower albumin levels than those without (36.53 ± 2.51 vs. 39.69 ± 3.19 g/L; p < 0.001). A moderate positive correlation was observed between serum albumin and pre-dialysis creatinine levels (r = 0.31; p = 0.008). Conclusion: The prevalence of hypoalbuminemia among elderly hemodialysis patients was relatively high and significantly associated with severe anemia, lower pre-dialysis creatinine levels, and the occurrence of intradialytic hypotension.