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Peer-reviewed veterinary case report

Low blood protein (hypoalbuminaemia) in cats and its link to diseases

By Fong, K Y M et al.·Published in The Journal of small animal practice·2024·The Hospital for Small Animals, United Kingdom·View original on PubMed

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Original publication title: Hypoalbuminaemia and its association with disease and clinical outcomes in cats.

Species:
cat

Plain-English summary

A group of cats was found to have low albumin levels (hypoalbuminaemia), which can indicate serious health issues. This condition was most commonly linked to gastrointestinal diseases, particularly cancer in the intestines. Cats with moderate to severe hypoalbuminaemia often required longer hospital stays and faced higher treatment costs, with an increased risk of death. Monitoring albumin levels can be crucial for understanding the severity of illness and guiding treatment decisions.

People also search for: cat low albumin levels · cat gastrointestinal cancer symptoms · hypoalbuminaemia treatment in cats

Abstract

OBJECTIVES: To report the incidence of feline hypoalbuminaemia and characterise the distribution of presenting disease categories and pathoaetiologies of hypoalbuminaemia in cats. The secondary aim was to evaluate the relationship between hypoalbuminaemia and clinical outcomes. MATERIALS AND METHODS: Medical records of cats with hypoalbuminaemia (<28.0&#x2009;g/L, reference interval: 28.0 to 39.0&#x2009;g/L) presenting to a veterinary teaching hospital over 5&#x2009;years were retrospectively reviewed. The severity of hypoalbuminaemia was further stratified into mild (24.0 to 27.9&#x2009;g/L), moderate (20.0 to 23.9&#x2009;g/L) and severe (&#x2264;19.9&#x2009;g/L) groups. The median albumin and severity groups were compared between the determined disease categories, pathoaetiologies and clinical outcomes. RESULTS: The incidence of hypoalbuminaemia was 32.7% (533/1632). Gastrointestinal disease was the most common disease category associated with hypoalbuminaemia [154/533 (28.9%)], of which, 49.4% (76/154) of cats had gastrointestinal neoplasia. Neoplastic [159/533 (29.8%)] and inflammatory conditions [158/533 (29.6%)] were common pathoaetiologies noted. Statistically significant differences in the serum albumin between individual disease and pathoaetiological categories were found. Cats with moderate to severe hypoalbuminaemia had a statistically significantly longer hospitalisation period, cost of treatment and increased odds of death (odds ratio 2.4, 95% confidence interval: 1.3 to 4.6 and odds ratio 3.2, 95% confidence interval: 1.5 to 6.6, respectively). CLINICAL SIGNIFICANCE: The incidence of feline hypoalbuminaemia in our study surpasses previous canine reports. Our findings support albumin as a negative acute phase protein in cats, with hypoalbuminaemia frequently associated with inflammatory disease. Hypoalbuminaemia also features prominently in cats with gastrointestinal neoplasia, indicating careful appraisal of the presence of protein-losing enteropathy is required in these cases. Finally, albumin is found to be a prognostic indicator in this study.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/39228101/