Ellsworth Bridget, Kamath Atul F
Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19107, USA.
Assistant Professor of Orthopaedic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19107, USA.
J Nat Sci. 2016;2(3).
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 perioperative complications and improve patient outcomes. Recently, multiple studies have been published focusing on the association between malnutrition and perioperative complications following TJA. The findings of these studies are summarized in this review. Further research is required to determine if optimization of nutritional status preoperatively influence surgical outcomes in the elective TJA patient.
营养不良在接受择期全关节置换术（TJA）的患者中很普遍。除了增加术后死亡率外，营养不良已被证明是TJA术后多种并发症的独立危险因素。在当前的医疗环境中，术前识别并纠正可改变的危险因素以尽量减少围手术期并发症并改善患者预后非常重要。最近，发表了多项关于营养不良与TJA术后围手术期并发症之间关联的研究。本综述总结了这些研究的结果。需要进一步研究以确定术前营养状况的优化是否会影响择期TJA患者的手术结局。
