ArticleClinics in orthopedic surgery2018
Preoperative Serum Albumin Levels Predict Treatment Cost in Total Hip and Knee Arthroplasty.
Article in Clinics in orthopedic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 45 citations in OpenAlex.
- Preoperative Hypoalbuminemia Predicts Infection, Fracture, and Repeat Revision After Revision Total Hip Arthroplasty; Prealbumin Stratification Does Not Refine Risk: A Retrospective Database Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Malnutrition affects infection rates and quality of life in patients undergoing primary hip and knee arthroplasty: a retrospective study.Journal of bone and joint infection · 2026Article
- A 10-point preoperative checklist: selecting patients for outpatient joint replacement surgery.Arthroplasty (London, England) · 2024Article
- Preoperative low serum albumin increases the rate of perioperative blood transfusion in patients undergoing total joint arthroplasty: propensity score matching.BMC musculoskeletal disorders · 2024Article
- Prevalence of Poor Nutrition in Knee Osteoarthritis Patients: A Hospital-Based Cohort Study in Indian Population.Indian journal of orthopaedics · 2024Article
- Why malnutrition in orthopaedic elective patient is still an issue? A recent review of the literature.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Review
- Risk assessment and clinical prediction model of planned transfer to the ICU after hip arthroplasty in elderly individuals.BMC surgery · 2023Article
- Construction and validation of a risk prediction model for delayed discharge in elderly patients with hip fracture.BMC musculoskeletal disorders · 2023Article
- Hypoalbuminemia Increases Mortality after Two-Stage Revision Total Joint Arthroplasty.The archives of bone and joint surgery · 2023Article
- Preoperative High Sleep Quality Predicts Further Decrease in Length of Stay after Total Joint Arthroplasty under Enhanced Recovery Short-stay Program: Experience in 604 Patients from a Single Team.Orthopaedic surgery · 2022Article
- Length of Hospital Stay after Total Knee Arthroplasty: A Correlation Study on 1200 Patients.Journal of clinical medicine · 2022Article
- Development and validation of an interpretable machine learning scoring tool for estimating time to emergency readmissions.EClinicalMedicine · 2022Article
- Incidence and risk factors associated with human albumin administration following total joint arthroplasty: a multicenter retrospective study.Journal of orthopaedic surgery and research · 2021Article
- Functional and Cost Audit of Primary Total Knee Arthroplasty in Public vs Private Hospitals: A Retrospective Cohort Study.Indian journal of orthopaedics · 2021Article
- Failure to Medically Optimize Before Total Hip Arthroplasty: Which Modifiable Risk Factor Is the Most Dangerous?Arthroplasty today · 2021Article
- The association of preoperative blood markers with postoperative readmissions following arthroplasty.Bone & joint open · 2021Article
- Burden and future projection of revision Total hip Arthroplasty in South Korea.BMC musculoskeletal disorders · 2021Article
- Observational
- Factors associated with the length of stay in total knee arthroplasty patients with the enhanced recovery after surgery model.Journal of orthopaedic surgery and research · 2019Article
- Increased risk of complications in patients with hypoalbuminemia undergoing revision total hip arthroplasty.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHypoalbuminemia (serum albumin < 3.5 g/dL) is associated with increased morbidity and mortality in patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA). However, costs associated with hypoalbuminemia remain unknown. This study investigated the effect of serum albumin on direct treatment costs, length of stay (LOS), and readmissions for primary and revision THA and TKA patients.
methodsAll adult patients at a single institution undergoing primary or revision THA or TKA between January 2014 and December 2016 were retrospectively reviewed. Patients were stratified by preoperative serum albumin level. The primary outcome was total direct costs at index hospitalization. Secondary outcomes included LOS and readmission within 30 days. Multivariable regressions were utilized to adjust for demographics and comorbidities.
resultsOf 3,785 patients, 114 (3.0%) had hypoalbuminemia. After adjustment, hypoalbuminemia was associated with a 16.2% increase in costs (β = 0.162; 95% confidence interval [CI], 0.112 to 0.213;
conclusionsHypoalbuminemia is associated with increased total direct costs, LOS, and readmissions following primary and revision THA and TKA. Future efforts to predict and address total costs should take into consideration the patient's preoperative serum albumin levels.
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