The Efficacy of Channa Striata Extract Administration in Improving Albumin and Creatinine Levels in Sepsis Patients in the Intensive Care Unit

  • Mathilda Panggabean Study program of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Sumatera Utara, Indonesia
  • Andriamuri Primaputra Lubis Study program of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Sumatera Utara, Indonesia
  • Rr. Sinta Irina Study program of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Sumatera Utara, Indonesia
  • Rina Amelia Department of Community Medicine, Faculty of Medicine, Universitas Sumatera Utara, Indonesia
Keywords: albumin, channa striata, creatinine, sepsis

Abstract

Albumin levels in the blood are an indicator for assessing the severity of sepsis. In sepsis patients, administering albumin extract from Channa striata has better potential to replace Human Albumin by 20%. This study aims to determine the role of Channa striata extract (CSE) in improving albumin and creatinine in sepsis patients. This research is a quasi-experimental research with a pre-post-test design. Sepsis patients who meet the inclusion and exclusion criteria and sign the informed consent form will be divided into treatment and control groups. Both groups received the same therapy protocol, except for the treatment group, which will be given CSE at a dose of 5gr, three times a day, for five days. Albumin, creatinine, and SOFA score measurements will be taken before the treatment and on the 7th day. All data will be tabulated and analyzed using statistical software. This study consisted of 2 groups, with a sample size of 20 patients for each group. It was found that the mean age of the research sample was 56.1 + 11.8 years. In the treatment group, there was no decrease in albumin levels before and after (2.76 + 0.41 to 2.76 + 0.40), p=0.952. There was no significant difference in assessing creatinine levels before and after treatment, p>0.05. There was an increase in SOFA score before and after treatment in both groups, p<0.05. Channa striata extract is clinically significant for improving the condition of sepsis patients in the ICU.

References

Chou, C.-D., Yien, H.-W., Wu, D.-M., & Kuo, C.-D. (2009). Albumin Administration in Patients with Severe Sepsis Due to Secondary Peritonitis. Journal of the Chinese Medical Association, 72(5), 243–250. https://doi.org/10.1016/S1726-4901(09)70064-

Farouk Musa, A., & Jia Min, C. (2022). Haruan Extract ( Channa striatus ) as an Effective Mediator in Promoting Wound Healing. In M. Gore (Ed.), Skin Grafts for Successful Wound Closure. IntechOpen. https://doi.org/10.5772/intechopen.99207

Gounden, V., Vashisht, R., & Jialal, I. (2018). Hypoalbuminemia.

Hu, J., Lv, C., Hu, X., & Liu, J. (2021). Effect of hypoproteinemia on the mortality of sepsis patients in the ICU: a retrospective cohort study. Scientific Reports, 11(1), 24379.

Iskandar, A., & Siska, F. (2020). Analisis Hubungan Sequential Organ Failure Assessment (Sofa) Score Dengan Mortalitas Pasien Sepsis. Jurnal Kesehatan Andalas, 9(2), 168. https://doi.org/10.25077/jka.v9i2.1221

Kasim, V. N., Pateda, S. M., Hadju, V., & Jafar, N. (2017). Suplementasi ekstrak albumin ikan gabus terhadap status gizi dan imunitas pasien stroke. Jurnal Gizi Klinik Indonesia, 13(3), 91–98.

Kwan, S. H., Abdul Aziz, N. H., & Ismail, M. N. (2020). Bioactive proteins in Channa striata promote wound healing through angiogenesis and cell proliferation. Protein and Peptide Letters, 27(1), 48–59.

Li, X., Yang, Y., Zhang, B., Lin, X., Fu, X., An, Y., Zou, Y., Wang, J.-X., Wang, Z., & Yu,

T. (2022). Lactate metabolism in human health and disease. Signal Transduction and Targeted Therapy, 7(1), 305.

Liu, T., Xuan, H., Wang, L., Li, X., Lu, Z., Tian, Z., Chen, J., Wang, C., Li, D., & Xu, T. (2023). The association between serum albumin and long length of stay of patients with acute heart failure: A retrospective study based on the MIMIC-IV database. Plos One, 18(2), e0282289.

Ma’rufi, I., Ali, K., Sedemen, I. A., Purwanto, P., & Khoiri, A. (2019). Channa Striata (Ikan Gabus) extract and the acceleration of tuberculosis treatment: A true experimental study. Interdisciplinary Perspectives on Infectious Diseases, 2019.

Mulyana, R., Setiati, S., Martini, R. D., Harimurti, K., & Dwimartutie, N. (2017). The effect of Ophiocephalus striatus extract on the levels of IGF-1 and albumin in elderly patients with hypoalbuminemia. Acta Med Indones-Indones J Intern Med, 49(4), 324–329.

Mustafa, A., Sujuti, H., Permatasari, N., & Widodo, M. A. (2013). Determination of nutrient contents and amino acid composition of Pasuruan Channa striata extract. IEESE International Journal of Science and Technology, 2(4), 1.

Naufal Agus Isamahendra, N., Lynda Hariani, L., & Dwi Murtiastutik, D. (2023). Systematical Review Efektivitas Pemberian Kapsul Ekstrak Channa striata Terhadap Kadar Albumin pada Kasus Luka Bakar. Jurnal Rekontruksi Dan Estetik, 6(2).

Palupi, F. D., Kristianto, Y., & Santoso, A. H. (2015). Pembuatan Formula Enteral Gagal Ginjal Kronik (Ggk) Menggunakan Tepung Mocaf, Tepung Ikan Gabus Dan Konsentrat Protein Kecambah Kedelai. 1(1), 41–57.

Parliastina, D., & Parliastina, D. (2018). Pengaruh Ekstrak Ikan Gabus (Channa Striata) Terhadap Kadar Albumin Dan Penyembuhan Luka Pada Pasien Post Operasi Laparatomi (Studi Di Rsud Brigjend H. Hasan Basry Kota Kandangan).

Permana, S. A. (2022). Evaluating the Efficacy of Channa Striata in Stabilizing eNOS in Patients With Septic. https://classic.clinicaltrials.gov/ct2/show/record/NCT05596942

Permana, S. A., Hartono, H., Purwanto, B., & Indarto, D. (2023). Non inferiority trial of Channa striata extract on endothelial glycocalyx layer protection in septic patient: A prospective cohort study. Pharmacia, 70(3), 569–573.

Putranto, W., Hestiningrum, S., Febriani, N. I. M., Kusmardi, K., Dewi, R. T. K., Perdhana,

S. A. P., Prabowo, N. A., & Pratama, Y. S. (2023). The Effect of Channa striata Extract on Serum Albumin and High Sensitive C-Reactive Protein in End-Stage Renal Disease Patients: A Randomized Controlled Trial. Pharmacognosy Journal, 15(1).

Qian, S., & Liu, J. (2012). Relationship between serum albumin level and prognosis in children with sepsis, severe sepsis or septic shock. Zhonghua Er Ke Za Zhi= Chinese Journal of Pediatrics, 50(3), 184–187.

Retracted: SOFA Score in relation to Sepsis: Clinical Implications in Diagnosis, Treatment, and Prognostic Assessment. (2023). Computational and Mathematical Methods in Medicine, 2023, 1–1. https://doi.org/10.1155/2023/9856196

Rhodes, A., Evans, L. E., Alhazzani, W., Levy, M. M., Antonelli, M., Ferrer, R., Kumar, A., Sevransky, J. E., Sprung, C. L., & Nunnally, M. E. (2017). Surviving sepsis campaign:

International guidelines for management of sepsis and septic shock: 2016. Intensive Care Medicine, 43, 304–377.

Rosyidi, R. M., Januarman, J., Priyanto, B., Islam, A. A., Hatta, M., & Bukhari, A. (2019). The Effect of Snakehead Fish (Channa striata) Extract Capsule to the Albumin Serum Level of Post-operative Neurosurgery Patients. Biomedical and Pharmacology Journal, 12(2), 893–899. https://doi.org/10.13005/bpj/1714

Siddaiah, G. M., Kumar, R., Kumari, R., Damle, D. K., Rasal, K. D., Manohar, V., Sundaray,

J. K., & Pillai, B. R. (2022). Dietary supplementation of fish protein hydrolysate improves growth, feed efficiency and immune response in freshwater carnivore fish, Channa striata fingerlings. Aquaculture Research, 53(9), 3401–3415.

Suryanti, Y., Hadisaputro, S., & Nugraheni, S. A. (2020). The effect of snakehead fish (Channa striata) extract on blood leukocyte number and cesarean section wound healing. 596– 598.

Thamrin, M., & Rusman, R. (2021). Effect of snakehead fish extract on kidney function in patients undergoing radiotherapy. Russian Open Medical Journal, 10(4), 420.

Utariani, A., Prasetyo, B., & Nugraha, J. (2017). Correlation Between The Use Of Albumin Infusion And Concentrations Of Serum Albumin, Proinflammatory Cytokines (Tnf- , Il6) And Sofa Score In Septic Patients. Folia Medica Indonesiana, 52(4), 310. https://doi.org/10.20473/fmi.v52i4.5481

Published
2024-04-29
How to Cite
Panggabean, M., Lubis, A. P., Irina, R. S., & Amelia, R. (2024). The Efficacy of Channa Striata Extract Administration in Improving Albumin and Creatinine Levels in Sepsis Patients in the Intensive Care Unit. Indonesian Journal of Applied Research (IJAR), 5(1), 9-16. https://doi.org/10.30997/ijar.v5i1.414