Background and objectiveThe use of albumin is widespread and its use in many settings is still under debate. Frequently, inappropriate use is made in because of an analytical finding of hypoalbuminemia and / or in situations in which an attempt is made to correct a deficient nutritional status. In this study, the use of albumin in the hospitalized patient is analyzed, and evaluates the adequacy degree of its prescription to current recommendations. Methods and materialsRetrospective cross-sectional observational study conducted in a six-month secondary hospital. A review of intravenous albumin prescriptions of patients admitted to inpatient units was conducted. ResultsA total of 77 patients were included. The most prescribed appropriate indication was ascitic-hepatic syndrome (40%). In 39%, treatment with albumin was not indicated, observing in 22% that the justification for the prescription was only the analytical finding of hypoalbuminemia. The adequacy degree was significantly higher in the medical services than in the surgical ones (p < 0.005). The highest adequacy degree was found in patients admitted to digestive medicine, while in internal medicine and surgery the adequacy was lower (p < 0.005). ConclusionsThe use of albumin in our hospital has a wide margin of improvement, about 40% of the patients the prescriptions did not adjust to the recommendations of the clinical practice guidelines.