The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Malnutrition in Joint Arthroplasty: Prospective Study Indicates Risk of Unplanned ICU Admission

Document Type : RESEARCH PAPER

Authors
Atul Kamath 1
Caitlin McAuliffe 1
Laura Kosseim 2
Finnah Pio 3
Eric Hume 4
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, Penn Presbyterian Medical Center,Philadelphia, PA, USA
4 Department of Orthopaedic Surgery, Penn Presbyterian Medical Center, Philadelphia, PA, USA
10.22038/abjs.2016.5272
Abstract
 
 
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.
 
 
 
Keywords
Albumin
Intensive Care Unit
Malnutrition
Risk Reduction
Total Joint Arthroplasty (replacement)
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The Archives of Bone and Joint Surgery
Volume 4, Issue 2 - Serial Number 2
April 2016
Pages 128-131

  • Receive Date 24 August 2015
  • Revise Date 09 October 2015
  • Accept Date 08 October 2015