Preoperative Risk Factor Score Predicts Malnutrition in Total Joint Arthroplasty Patients.

Autor:	Rudasill S; Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania., Gittings DJ; Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania., Elkassabany NM; Department of Anesthesiology, University of Pennsylvania, Philadelphia, Pennsylvania., Liu J; Department of Anesthesiology, Hospital for Special Surgery, New York, New York., Nelson CL; Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania., Kamath AF; Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Jazyk:	angličtina
Zdroj:	Journal of surgical orthopaedic advances [J Surg Orthop Adv] 2019 Summer; Vol. 28 (2), pp. 97-103.
Abstrakt:	Malnutrition is a modifiable risk factor for poor outcomes in patients undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA). The purpose of this study is to highlight risk factors for hypoalbuminemia and develop a predictive model that identifies patients at risk for this condition before THA or TKA. The study retrospectively reviewed the National Surgical Quality Improvement Program database to analyze preoperative independent risk factors for a diagnosis of hypoalbuminemia in adult patients who underwent THA or TKA. These factors were used to create a preoperative risk model to predict hypoalbuminemia. Individuals with three or more risk factors in the seven-point model are predicted to have hypoalbuminemia in 20.4% of THA or 10.5% of TKA cases. Accurate identification of hypoalbuminemic patients may allow preoperative nutrition interventions to improve postoperative outcomes. (Journal of Surgical Orthopaedic Advances 28(2):97-103, 2019).
Databáze:	MEDLINE
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