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The serum-ascites albumin gradient or gap (SAAG) is a calculation used in medicine to help determine the cause of ascites. [1] The SAAG may be a better discriminant than the older method of classifying ascites fluid as a transudate versus exudate. [2] The formula is as follows: SAAG = (serum albumin) − (albumin level of ascitic fluid).
The serum-ascites albumin gradient (SAAG) is probably a better discriminant than older measures (transudate versus exudate) for the causes of ascites. [12] A high gradient (> 1.1 g/dL) indicates the ascites is due to portal hypertension. A low gradient (< 1.1 g/dL) indicates ascites of non-portal hypertensive as a cause. [13]
The serum-ascites albumin gradient (SAAG) is the most useful index for evaluating peritoneal fluid and can help distinguish ascites caused by portal hypertension (cirrhosis, portal vein thrombosis, Budd-Chiari syndrome, etc.) from other causes of ascites. SAAG is calculated by subtracting the albumin measure of ascitic fluid from the serum value.
The serum-ascites albumin gradient can help determine the cause of the ascites. [7] The color of the ascitic fluid can also be useful in analysis. Blood fluid can indicate trauma or malignancy. A milky appearance of the fluid can indicate lymphoma or malignant peritoneal ascites. Cloudy or turbid fluid can indicate possible infection or ...
serum–ascites albumin gradient SAB: staphylococcal bacteremia spontaneous abortion (that is, miscarriage) SAD: seasonal affective disorder subacromial decompression: SAH: subarachnoid hemorrhage: SAM: systolic anterior motion of the mitral valve. Severe acute malnutrition SAN: sinoatrial node: SaO 2: arterial oxygen saturation SAPS II ...
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Increase in serum creatinine >0.3mg/L 26umol/L within 48 hrs OR increase by >1.5 times from baseline (reading from the last 3 months) No response to withdrawal of diuretics or administration of 1g/kg of albumin 20% over the last 2 days; Cirrhosis with ascites; Absence of Shock state; Current or recent use of nephrotoxins (eg. NSAIDS, contrast dyes