Malnutrition in Joint Arthroplasty: Prospective Study Indicates Risk of Unplanned ICU Admission
نویسندگان
1 Department of Orthopaedic Surgery, Pennsylvania Hospital, Philadelphia, PA, USA
2 Department of Medicine, Penn Presbyterian Medical Center, Medical Arts Building, Philadelphia, PA, USA
3 Department of Orthopaedic Surgery, Pennsylvania Hospital, Philadelphia, PA, USA
4 Department of Orthopaedic Surgery, Penn Presbyterian Medical Center,Philadelphia, PA, USA
5 Department of Orthopaedic Surgery, Penn Presbyterian Medical Center, Philadelphia, PA, USA
doi
10.22038/abjs.2016.5272چکیده
Background: Malnutrition has been linked to poor outcomes after elective joint arthroplasty, but the risk of unplanned postoperative intensive care unit (ICU) admission in malnourished arthroplasty patients is unknown. Methods: 1098 patients were followed as part of a prospective risk stratification program at a tertiary, high-volume arthroplasty center. Chronic malnutrition was defined as preoperative albumin Results: The overall incidence of malnutrition was 16.9% (primary and revision arthroplasty patients). Average BMI was highest for patients in albumin category 3.0-3.5 (BMI 35.7). Preoperative albumin postoperative ICU admission. Conclusion: Patients with poor nutritional status must be counseled on the risks of adverse medical complications.
