Malnutrition in Joint Arthroplasty: Prospective Study Indicates Risk of Unplanned ICU Admission
Authors
Abstract:
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.
similar resources
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 preo...
full textMalnutrition 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...
full textMalnutrition 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...
full textUnplanned 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...
full textSurvival 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...
full textVariables 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...
full textMy Resources
Journal title
volume 4 issue 2
pages 128- 131
publication date 2016-04-01
By following a journal you will be notified via email when a new issue of this journal is published.
Hosted on Doprax cloud platform doprax.com
copyright © 2015-2023