Hypoproteinemia, a complication of spinal cord injury (SCI), is an independent risk factor for respiratory failure in elderly patients with SCI[6] and a predictor of outcomes in patients with cervical SCI.[7] Pneumonia is one of the main causes of death in patients with SCI.[8] In patients with stroke, hypoalbuminemia is an independent risk factor for pneumonia during the rehabilitation period.[9] Low serum albumin is an important factor affecting medical success and the adequacy of a patient response to trauma and disease, life, and longevity. The gene discussed is ALB; the disease is pneumonia.