Wednesday, February 5, 2020

Shoulder arthroplasty - malnutrition increases risk

Effects of Modifiable Risk Factors on Outcomes after Shoulder Arthroplasty

These authors collected data from the American College of Surgeons National Quality Improvement Program from 2006-2016 for adult patients having total shoulder arthroplasty.

Malnutrition was defined as a preoperative albumin <3.5. Hematologic complications included thromboembolic events, bleeding, sepsis, or septic shock. Non-routine discharge was defined as a discharge other than to the patient's home.

As can be seen below, malnutrition was associated with >3 times increased risk of non-routine discharge and almost 5 times the risk of hematologic complications.

Comment: A serum albumin is an inexpensive test to obtain preoperatively. Its relationship to adverse outcomes is of interest.

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