The Association between Serum Albumin Level and Post-Laparotomy Wound Healing Time at Dr. Wahidin Sudirohusodo Hospital, South Sulawesi

Hasta Munanto, Nurfa Parenrengi, Rabiyah Al Aadiyaat Sumardin


South Konawe District Health Office



Background: Wound healing is generally the same for each individual but the  out­come achieved depends on the biological condition of each individual, the location and extent of the wound. Malnutrition is one of the most late causes of wound healing. Pro­­­­tein plays an important role in wound healing and one of the most important ele­ments of plasma protein is albumin. The state of albumin also affects the length of wound healing. From the results of several studies, there is a significant relationship bet­­­ween serum albumin and the length of wound healing. The purpose of this study was to deter­mine the relationship of serum albumin with wound healing time in post­ope­­­rative la­pa­rotomy patients.

Subjects and Method:This was a retrospective cohort study conducted at RSUP. Dr. Wahidin Sudirohusodo, Makassar, South Sulawesi, from January to October 2007. A total sample of 77 postoperative patients with laparotomy hospitalized in the Digestive Sur­gical Nursing Room were selected for this study. The dependent was variable wound hea­ling time. The independent variable was serum albumin. The data were obtained from medical record and observation sheets. The data analyzed using the chi-square test.

Results:Albumin levels of the treated patients were between 2.1 gr/dL and 3.77 gr/dL. Wound healing time ranged from 7 to 94 days with an average of 10.09 days in patients with normal albumin level and 19.9 days in patients with low albumin level. There was a statis­cally significant relationship between serum albumin and wound healing time (p <0.001).

Conclusion: Wound healing time is correlated with serum albumin level.

Keywords:postoperative laparotomy, albumin serum, wound healing time.

Correspondence:  Hasta Munanto, Masters Program in Public Health, School of Health Sciences Mandala Waluya. Jl. A.H.Nasution No. G 37, Kendari, South East Sulawesi. Email: Mobile : 085275268724.


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