1Department of Orthopaedic Surgery, Pennsylvania Hospital, Philadelphia, PA, USA
2Department of Medicine, Penn Presbyterian Medical Center, Medical Arts Building, Philadelphia, PA, USA
3Department of Orthopaedic Surgery, Penn Presbyterian Medical Center,Philadelphia, PA, USA
4Department of Orthopaedic Surgery, Penn Presbyterian Medical Center, Philadelphia, PA, USA
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.
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