ArticleGlobal spine journal2018
Nutritional Insufficiency as a Predictor for Adverse Outcomes in Adult Spinal Deformity Surgery.
Article in Global spine journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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The trial behind it
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Hypoalbuminaemia contributes to postoperative pulmonary complications and mortality: a systematic review and meta-analysis.BMC anesthesiology · 2026Pooled it
- Association between malnutrition and surgical site wound infection among spinal surgery patients: A meta-analysis.International wound journal · 2023Pooled it
- Preoperative hypoalbuminemia predicts early complications, mortality, and discharge disposition following surgical resection of spinal metastases: a nationwide study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- The impact of preoperative nutritional status on 30-day outcomes after elective lumbar laminectomy for lumbar stenosis: a population-based cohort analysis.Asian spine journal · 2026Article
- What's worse, obesity or malnutrition in patients undergoing multi-level posterior lumbar instrumentation?Surgical neurology international · 2026Article
- The combined effect of nutritional status and body mass index on 90-day adverse events following long-segments fusion for adult spinal deformity: a propensity score-matched analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Malnutrition and Disability: A Retrospective Study on 2258 Adult Patients Undergoing Elective Spine Surgery.Medicina (Kaunas, Lithuania) · 2025Observational
- Spinal alignment and surgical correction in the aging spine and osteoporotic patient.North American Spine Society journal · 2024Review
- Preoperative nutritional optimization for adult spinal deformity: Review.Spine deformity · 2024Review
- Preoperative medical assessment for adult spinal deformity surgery: a state-of-the-art review.Spine deformity · 2023Review
- The Effect of Modifiable Risk Factors on Postoperative Complications in Lumbar Spine Fusions.Global spine journal · 2023Article
- Hypoalbuminemia and Elevated CRP are Risk Factors for Deep Infections and Urinary Tract Infections After Lumbar Spine Surgery in a Large Retrospective Patient Population.Global spine journal · 2023Article
- Association between hypoalbuminemia and complications after degenerative and deformity-correcting spinal surgeries: A systematic review and meta-analysis.Frontiers in surgery · 2022Review
- Comparison of Clinical Data Between Patients With Complications and Without Complications After Spinal Tuberculosis Surgery: A Propensity Score Matching Analysis.Frontiers in surgery · 2022Article
- Factors Associated With Short Length of Stay After Long Fusions for Adult Spinal Deformity: Initial Steps Toward Developing an Enhanced Recovery Pathway.Global spine journal · 2021Article
- The Impact of Malnutrition on 30-Day Postoperative Complications following Surgical Fixation of Distal Radius Fractures.Journal of hand and microsurgery · 2020Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective analysis of prospectively collected data.
objectiveThe effect of malnutrition on outcomes after general surgery has been well reported in the literature. However, there is a paucity of data on the effect of malnutrition on postoperative complications during adult deformity surgery. The study attempts to explore and quantify the association between hypoalbuminemia and postoperative complications.
methodsA retrospective cohort analysis was performed on the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database from 2010 to 2014. Patients (≥18 years of age) from the NSQIP database undergoing adult deformity surgery were separated into cohorts based serum albumin (<3.5 or >3.5 g/dL). Chi-square and multivariate logistic regression models were used to identify independent risk factors.
resultsA total of 2236 patients met the inclusion criteria for the study, of which 2044 (91.4%) patients were nutritionally sufficient while 192 (8.6%) patients were nutritionally insufficient. Multivariate logistic regressions revealed nutritional insufficiency as a risk factors for mortality (odds ratio [OR] = 15.67, 95% confidence interval [CI] = 6.01-40.84,
conclusionsThis study demonstrates that preoperative hypoalbuminemia is a significant and independent risk factor for postoperative complications, 30-day mortality, and increased length of hospital in patients undergoing adult deformity surgery surgery. Nutritional status is a modifiable risk factor that can potentially improve surgical outcomes after adult deformity surgery.
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