Does this test have other names?
PA, transthyretin test
What is this test?
The prealbumin screen is a blood test to see if you are getting enough nutrition in
your diet. This may be because you have a chronic condition. Or it may be because
you have an infection or inflammation, or you suffered a trauma. Prealbumin is a protein
that is made mainly by your liver. Your body uses prealbumin to make other proteins.
Prealbumin also carries thyroid hormones in the blood.
Why do I need this test?
You might have this test if your healthcare provider thinks you may have an infection,
inflammation, or poor nutrition. You may also have this test if you have had trauma. Your
healthcare provider may also order this test while you are in the hospital to see
if you need more nutritional or medical care as part of your treatment.
What other tests might I have along with this test?
To watch your nutritional needs, your healthcare provider might order a C-reactive
protein screen. This looks for another protein in your blood. Your provider may also
order tests for hemoglobin, albumin, iron, transferrin, folate, and vitamin B-12,
and other electrolytes, vitamins, and minerals.
What do my test results mean?
Many things may affect your lab test results. These include the method each lab uses
to do the test. Even if your test results are different from the normal value, you
may not have a problem. To learn what the results mean for you, talk with your healthcare
Low prealbumin scores mean that you are likely to need a nutritional assessment. Low
prealbumin scores may also be a sign of liver disease, inflammation, or tissue death
(tissue necrosis). High prealbumin scores may be a sign of long-term (chronic) kidney
disease, steroid use, or alcoholism.
Normal results for a prealbumin blood test are:
Adults: 15 to 36 milligrams per deciliter (mg/dL) or 150 to 360 milligrams per liter
Children: 6 to 21 mg/dL for an infant under 5 days old, 14 to 30 mg/dL for children
ages 1 to 5, 15 to 33 mg/dL for children ages 6 to 9, 22 to 36 mg/dL for those ages
10 to 13, 22 to 45 mg/dL for those ages 14 to 19
How is this test done?
The test requires a blood sample, which is drawn through a needle from a vein in your
Does this test pose any risks?
Taking a blood sample with a needle carries a small risk of bleeding, infection, or
bruising. You may also feel dizzy. When the needle pricks your arm, you may feel a
slight sting. Afterward, the site might be sore.
What might affect my test results?
Infection, inflammation, or recent trauma may affect your test results. This could
make them more difficult to figure out. Experts suggest that people in the hospital
who are tested for prealbumin be tested twice. This should be done 3 to 5 days apart,
for more accurate results.
How do I get ready for this test?
No preparation is necessary.