The Effect of Malnutrition on Patients Undergoing Elective Joint Arthroplasty

被引：143

作者：

Huang, Ronald ^{[1
]}

Greenky, Max ^{[1
]}

Kerr, Glenn J. ^{[1
]}

Austin, Matthew S. ^{[1
]}

Parvizi, Javad ^{[1
]}

机构：

[1] Thomas Jefferson Univ Hosp, Rothman Inst, Philadelphia, PA 19107 USA

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 08期

关键词：

total hip arthroplasty; total knee arthroplasty; malnutrition; obesity; transferrin; albumin; periprosthetic joint infection; PREOPERATIVE NUTRITIONAL-STATUS; TOTAL HIP; LYMPHOCYTE COUNT; RISK INDEX; MORTALITY; INFECTION;

D O I：

10.1016/j.arth.2013.05.038

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Malnutrition has been linked to serious complications in patients undergoing elective total joint arthroplasty (TJA). This study prospectively evaluated 2,161 patients undergoing elective TJA for malnutrition as defined by either an abnormal serum albumin or transferrin. The overall incidence of malnutrition was 8.5% (184 of 2,161) and the rate of overall complications in the malnourished group was 12% as compared to 2.9% in patients with normal parameters (P < 0.0001). Malnutrition predicted serious complications involving hematoma formation, infection, renal and cardiac complications. Obesity, defined by a body mass index (BMI) of 30 kg/m(2) was present in 42.9% of malnourished patients with a significantly higher complication rate in this cohort. Malnutrition remains prevalent in patients >55 years-old undergoing TJA and is associated with a significant increase in post-operative complications. (C) 2013 Elsevier Inc. All rights reserved.

引用

页码：21 / 24

页数：4

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