Preoperative Malnutrition and Metabolic Markers May Predict Periprosthetic Fractures in Total Hip Arthroplasty

Lung, Brandon E.; Donnelly, Megan; Callan, Kylie; McLellan, Maddison; Amirhekmat, Arya; McMaster, William C.; So, David H.; Su, Yang

doi:10.1016/j.artd.2022.101093

Cited by 5 publications

(1 citation statement)

References 57 publications

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“…Low serum albumin and transferrin are independent predictors of neurovascular complications, renal complications, postoperative hematoma and seroma formation, and overall complication rates 85 . Hypoalbuminemia is also a risk factor for periprosthetic fracture, SSI, pneumonia, prolonged hospital LOS, readmission, 90-day readmission, emergency department visits, and discharge to rehabilitation facilities after arthroplasty 1,11,86,87 . It has been reported that patients with hypoalbuminemia have a 5.94-fold and 3.19-fold increased risk of mortality after THA and TKA, respectively, and a recent meta-analysis of 29 studies concluded a 93% increase in all-cause complications 88,89 .…”

Section: The Impact Of Malnutrition In Orthopaedic Surgerymentioning

confidence: 99%

The Role of Perioperative Nutritional Status and Supplementation in Orthopaedic Surgery

Tedesco,

Sharma,

Acharya

et al. 2024

JBJS Reviews

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» Identification of malnourished and at-risk patients should be a standardized part of the preoperative evaluation process for every patient.» Malnourishment is defined as a disorder of energy, protein, and nutrients based on the presence of insufficient energy intake, weight loss, muscle atrophy, loss of subcutaneous fat, localized or generalized fluid accumulation, or diminished functional status.» Malnutrition has been associated with worse outcomes postoperatively across a variety of orthopaedic procedures because malnourished patients do not have a robust metabolic reserve available for recovery after surgery.» Screening assessment and basic laboratory studies may indicate patients' nutritional risk; however, laboratory values are often not specific for malnutrition, necessitating the use of prognostic screening tools.» Nutrition consultation and perioperative supplementation with amino acids and micronutrients are 2 readily available interventions that orthopaedic surgeons can select for malnourished patients.

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