Journal of orthopaedics · 2020
Increased risk of complications in patients with hypoalbuminemia undergoing revision total hip arthroplasty.
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Rynecki Nicole D, Congiusta Dominick V, Fields Michael, Patel Rushi, Vosbikian Michael M, Ahmed Irfan H
Аннотация
OBJECTIVE: The relationship between hypoalbuminemia and complications after revision total hip arthroplasty (THA) has not been established. We hypothesize that hypoalbuminemia is associated with complications in patients undergoing revision THA.
METHODS: The ACS-NSQIP database was queried for patients undergoing revision THA. Chi square and regression analyses were used to assess the relationship between hypoalbuminemia, demographics, other comorbidities, and complications.
RESULTS: Hypoalbuminemia is associated with an increased risk of reoperation, bleeding complications, surgical site infections, non-routine discharge, medical complications, and surgical complications.
CONCLUSIONS: Albumin levels should be considered in the preoperative planning of patients undergoing revision THA for possible nutritional optimization.
METHODS: The ACS-NSQIP database was queried for patients undergoing revision THA. Chi square and regression analyses were used to assess the relationship between hypoalbuminemia, demographics, other comorbidities, and complications.
RESULTS: Hypoalbuminemia is associated with an increased risk of reoperation, bleeding complications, surgical site infections, non-routine discharge, medical complications, and surgical complications.
CONCLUSIONS: Albumin levels should be considered in the preoperative planning of patients undergoing revision THA for possible nutritional optimization.