malnutrition in joint arthroplasty: prospective study indicates risk of unplanned icu admission
نویسندگان
چکیده
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.
منابع مشابه
Malnutrition in Joint Arthroplasty: Prospective Study Indicates Risk of Unplanned ICU Admission
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 ...
متن کاملMalnutrition in Joint Arthroplasty: Prospective Study Indicates Risk of Unplanned ICU Admission.
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 preo...
متن کاملMalnutrition and Total Joint Arthroplasty.
Malnutrition is prevalent in patients undergoing elective total joint arthroplasty (TJA). Malnutrition has been shown to be an independent risk factor for multiple postsurgical complications following TJA in addition to increasing postoperative mortality. In the current healthcare environment, it is important to recognize and correct modifiable risk factors preoperatively to minimize perioperat...
متن کاملUnplanned readmission after total joint arthroplasty: rates, reasons, and risk factors.
BACKGROUND There has been a major and alarming increase in readmission rates following total joint arthroplasty. With proposed changes in reimbursement policy, increased rates of unplanned readmission following arthroplasty will penalize providers. In particular, it has been proposed that specific complications--so-called "zero-tolerance" complications--are unacceptable and that their treatment...
متن کاملSurvival of people with dementia after unplanned acute hospital admission: a prospective cohort study.
OBJECTIVE To examine the effect of dementia on longer term survival after hospital admission, and to assess whether dementia is an independent predictor of mortality. This information is vital for the provision of appropriate care. METHODS A prospective cohort study, in a large urban acute general hospital, of 616 people (70 years and older) with unplanned medical admission. The principal exp...
متن کاملVariables associated with unplanned general adult ICU admission in hospitalised patients: protocol for a systematic review
BACKGROUND Failure to promptly identify deterioration in hospitalised patients is associated with delayed admission to intensive care units (ICUs) and poor outcomes. Existing vital sign-based Early Warning Score (EWS) algorithms do not have a sufficiently high positive predictive value to be used for automated activation of an ICU outreach team. Incorporating additional patient data might impro...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
the archives of bone and joint surgeryجلد ۴، شماره ۲، صفحات ۱۲۸-۱۳۱
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023