ArticleInternational orthopaedics2021
Malnutrition as predictor of poor outcome after total hip arthroplasty.
Article in International orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Nutritional screening tools as predictors of surgical outcomes in geriatric orthopedic patients: a meta-analysis.Aging clinical and experimental research · 2026Pooled it
- Diagnostic and application guidelines for malnutrition in adult patients (2025 edition).Asia Pacific journal of clinical nutrition · 2025Guideline
- Effect of serologic malnutrition on postoperative wound infection problems after total joint arthroplasty: A meta-analysis.International wound journal · 2023Pooled it
- Impact of Preoperative Nutritional Status on Postoperative Outcomes of Total Hip and Knee Arthroplasty: A Scoping Review.Medicina (Kaunas, Lithuania) · 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
- Preoperative Malnutrition Is Associated With Increased Rates of Periprosthetic Fractures in Total Knee Arthroplasty.Arthroplasty today · 2025Article
- Malnutrition is Common in Patients Utilizing Glucagon-Like Peptide-1 Agonists Prior to Total Joint Arthroplasty.Arthroplasty today · 2025Article
- Impact of preoperative nutritional impairment on physical function early after total hip arthroplasty.Bone & joint open · 2025Article
- Effects of Malnutrition on Perioperative Outcomes of Total Hip Arthroplasty: A Systematic Review and Meta-Analysis.Arthroplasty today · 2025Article
- Effects of nutrition management combined with specialized nursing on nutritional status, immune function and wound healing after joint replacement.Pakistan journal of medical sciences · 2025Article
- A 10-point preoperative checklist: selecting patients for outpatient joint replacement surgery.Arthroplasty (London, England) · 2024Article
- Revision Total Hip Arthroplasty: Evaluating the Utility of the Geriatric Nutritional Risk Index as a Risk Stratification Tool.Arthroplasty today · 2024Article
- Malnutrition in total joint arthroplasty: what should the orthopaedic surgeon consider?EFORT open reviews · 2024Review
- Shoulder arthroscopy in elderly patients: malnutrition and early postoperative outcomes.JSES international · 2024Article
- Use of the Geriatric Nutritional Risk Index to Assess Risk for Postoperative Complications Following Posterior Cervical Decompression/Fusion.International journal of spine surgery · 2023Article
- 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
- Preoperative demographics and laboratory markers may be associated with early dislocation after total hip arthroplasty.Journal of experimental orthopaedics · 2023Article
- Article
- The effects of hypoalbuminemia in obese patients undergoing total joint arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Association of Body Mass Index with Long-Term All-Cause Mortality in Patients Who Had Undergone a Vertebroplasty for a Vertebral Compression Fracture.Journal of clinical medicine · 2022Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe 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
methodWe 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.
resultsThe 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).
conclusionWe 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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