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Nutrition in Clinical Practice
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The Use of Serum Albumin as a Prognostic or Nutritional Marker and The Pros and Cons of IV Albumin Therapy

Vincent W. Vanek, MD, FACS, CNSP

St Elizabeth Health Center, Youngstown, Ohio; Northeastern Ohio Universities College of Medicine, Rootstown, Ohio

Serum albumin is a poor nutritional marker, but it is a good prognostic marker correlating with morbidity and mortality. However, IV albumin administration in hypoalbuminemic patients does not decrease tube feeding-associated diarrhea or intolerance, nor does it improve clinical outcome, so it is not cost-effective. In selected situations, colloid solutions may be helpful; however, nonprotein colloids are preferred and rarely is IV albumin indicated.

Nutrition in Clinical Practice, Vol. 13, No. 3, 110-122 (1998)
DOI: 10.1177/088453369801300302


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