Home Return After Surgery in Patients Aged over 85 Years is Associated with Preoperative Albumin Levels, the Type of Surgery, and APACHE II Score

Lee, Bora; Na, Sungwon; Park, Mi-Ran; Ham, Sung Yeon; Kim, J.

doi:10.1007/s00268-016-3830-5

Cited by 7 publications

(10 citation statements)

References 47 publications

(50 reference statements)

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“…Moreover several studies described negative consequences of malnutrition on mortality, morbidity, quality of life, or healthcare costs [2,12,14]. Recently, Lee et al [2] identified low pre-operative albumin levels and hip surgery as negative predictors for home return in patients over the age of 85.…”

Section: Discussionmentioning

confidence: 99%

“…Besides, elderly patients show a higher risk for malnutrition. For those affected, this can lead to longer hospital stays with increased morbidity and higher mortality [2,3]. Poor nutritional status tends to result in impaired wound healing or an increased risk of infections [4].…”

Section: Introductionmentioning

confidence: 99%

“…Hospitalization represents a stressful event, and consequently, the nutritional status tends to deteriorate during the hospital stay. Several studies are demonstrating the association of poor nutritional status and adverse outcomes in surgical patients [2,5].…”

Section: Introductionmentioning

confidence: 99%

“…Identifying the risk of adverse post-operative outcomes laboratory values may be used as a nutritional screening tool for hospitalized persons [7]. To assess protein energy malnutrition (PEM), biochemical parameters such as serum albumin and total lymphocyte count (TLC) as predictors of outcome in hip fracture patients have been used in literature [2,3]. Malnutrition seems to be a common causative factor for hip fractures [8] as several studies demonstrated poor outcome in malnourished hip fracture patients [5,9].…”

Section: Introductionmentioning

confidence: 99%

“…So far only a few studies indicated post-operative outcome in patients undergoing elective arthroplasty [6]. Given that total arthroplasty among older people is associated with high post-operative complications, the pre-operative nutritional status can be emphasized for patients' recovery [2,5]. However, the controversial impact of pre-operative nutritional status in patients undergoing THA has not fully been evaluated in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Malnutrition as predictor of poor outcome after total hip arthroplasty

Eminovic

Vincze

Eglseer

et al. 2020

International Orthopaedics (SICOT)

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Introduction The aim of this study was to assess the prevalence of protein energy malnutrition (PEM) and correlation with poor post-operative outcome in the elderly undergoing primary total hip arthroplasty (THA). Hypothesis Patients with PEM would have inferior post-operative outcome after THA. Materials and method We retrospectively evaluated the nutritional status of 220 hospitalized patients undergoing THA, 65 years and older. PEM was assessed using serum albumin and total lymphocyte count (TLC). Studied outcome parameters were length of pre-operative and post-operative stay, complications up to six months after surgery and 12-month mortality. Clinical and demographic data were retrieved from medical records from the hospital database. Results The prevalence of PEM among patients undergoing THA was 12.3% (27/220). Patients with PEM were significantly older (mean age 81.3 ± 7.0, p < 0.001), had a lower BMI (24.7 ± 4.1 kg/m 2, p = 0.022), and showed more comorbid conditions (mean CCI 2.8 ± 2.0, p = 0.002) compared with well-nourished patients (age 75.6 ± 6.2, BMI 26.8 ± 4.3 kg/m 2, CCI: 1.7 ± 1.7). Length of pre-operative stay differed significantly (p < 0.001) between PEM (median 7, range 1–36 days) and non PEM (median 1, range 1–22 days). In the PEM group, 12 (44.4%) patients had post-operative complications within six months after OP and 15 (7.8%) patients in the non PEM group (HR = 6.3, 95% CI 1.7–23.1). Conclusion We observed a higher post-operative complication rate for malnourished patients undergoing elective THA. These results underline the importance of pre-operative nutritional assessment in the elderly. Therefore, serum albumin and TLC are valuable clinical markers of PEM and the post-operative outcome.

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