2020
DOI: 10.2106/jbjs.19.00511
|View full text |Cite
|
Sign up to set email alerts
|

Low Preoperative Albumin Levels Predict Adverse Outcomes After Total Joint Arthroplasty

Abstract: Background: Low albumin levels have previously been shown to be a risk factor for increased complications in the 30-day postoperative period after total hip or knee arthroplasty. In this study, we examined the effect that albumin levels have on complications in all total joint primary arthroplasties or revisions (shoulder, elbow, wrist, hip, knee, ankle, and fingers). Methods: Patients who underwent a primary total joint arthroplasty or revision from 20… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
3
1
1

Citation Types

4
48
0

Year Published

2020
2020
2023
2023

Publication Types

Select...
4
2
2

Relationship

0
8

Authors

Journals

citations
Cited by 74 publications
(55 citation statements)
references
References 17 publications
4
48
0
Order By: Relevance
“…First, due to the small sample size, we should be cautious when understanding the positive result of BMI ≥ 30 kg/m 2 as a risk factor of HA administration in the group of patients undergoing TKA with pre-ALB < 35 g/L, although malnutrition increased when the rates of obesity increased [3]. Second, patients in the current study were grouped into those with pre-ALB < 35 g/L and those with pre-ALB ≥ 35 g/L, while patients were categorized into four groups: < 35 g/L, 35 to < 40 g/L, 40 to < 45 g/L, and ≥ 45 g/L by Rudasill et al [9], and patients with hypoalbuminemia were categorized into quartiles: < 30 g/L, 30 to 31.9 g/L, 32 to 33.9 g/L, and 34 to 34.9 g/L by Kishawi et al [3]. Therefore, we can't nd the association between the albumin gradient and HA administration like other studies.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…First, due to the small sample size, we should be cautious when understanding the positive result of BMI ≥ 30 kg/m 2 as a risk factor of HA administration in the group of patients undergoing TKA with pre-ALB < 35 g/L, although malnutrition increased when the rates of obesity increased [3]. Second, patients in the current study were grouped into those with pre-ALB < 35 g/L and those with pre-ALB ≥ 35 g/L, while patients were categorized into four groups: < 35 g/L, 35 to < 40 g/L, 40 to < 45 g/L, and ≥ 45 g/L by Rudasill et al [9], and patients with hypoalbuminemia were categorized into quartiles: < 30 g/L, 30 to 31.9 g/L, 32 to 33.9 g/L, and 34 to 34.9 g/L by Kishawi et al [3]. Therefore, we can't nd the association between the albumin gradient and HA administration like other studies.…”
Section: Discussionmentioning
confidence: 99%
“…Along with changes of the payment models, it is more and more necessary to reduce postoperative complications and shorten the length of stay [2]. Malnutrition, especially hypoalbuminemia (< 35 g/L), has been found to be an important predictor of complications after total hip arthroplasty (THA) or total knee arthroplasty (TKA) [3], and interventions have also shown that improved albumin levels can reduce the incidence of complications and thus reduce costs [4,5].…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…One equation in our traditional thinking was: The more surgeries I do, the better a surgeon I am. We have learned over the years that the subject of quality in arthroplasty is far more complex and numbers are only one indicator in a huge spectrum of surgeon-, patient-and implant-related factors [1][2][3][4] .…”
Section: Role As a Surgeonmentioning
confidence: 99%
“…Numerous studies have shown that malnutrition is associated with an increased risk of complications after TKA, including persistent wound drainage, delay of wound healing, super cial surgical site and even deep prosthetic joint infections, as well as intensive care unit admission [5,6]. Albumin is the most abundant protein in the human plasma, and is considered a reliable and sensitive biomarker of protein status and malnutrition [7,8]. Albumin, due to its short half-life, is frequently used to assess nutritional status in real time and detect acute nutritional changes [9].…”
Section: Introductionmentioning
confidence: 99%