行翻修全髋关节置换术的低白蛋白血症患者并发症风险增加。
Increased risk of complications in patients with hypoalbuminemia undergoing revision total hip arthroplasty.
作者信息
Rynecki Nicole D, Congiusta Dominick V, Fields Michael, Patel Rushi, Vosbikian Michael M, Ahmed Irfan H
机构信息
Rutgers New Jersey Medical School, Department of Orthopaedics, 140 Bergen Street, ACC D1610, Newark, NJ, 07103, USA.
出版信息
J Orthop. 2020 Mar 25;21:253-257. doi: 10.1016/j.jor.2020.03.006. eCollection 2020 Sep-Oct.
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.
目的
翻修全髋关节置换术（THA）后低蛋白血症与并发症之间的关系尚未明确。我们假设低蛋白血症与接受翻修THA的患者的并发症有关。
方法
在ACS-NSQIP数据库中查询接受翻修THA的患者。采用卡方检验和回归分析来评估低蛋白血症、人口统计学特征、其他合并症与并发症之间的关系。
结果
低蛋白血症与再次手术、出血并发症、手术部位感染、非常规出院、医疗并发症及手术并发症的风险增加相关。
结论
对于接受翻修THA的患者，在术前规划中应考虑白蛋白水平，以便进行可能的营养优化。
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