ArticleArthroplasty today2021
Failure to Medically Optimize Before Total Hip Arthroplasty: Which Modifiable Risk Factor Is the Most Dangerous?
Article in Arthroplasty today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 26 citations in OpenAlex.
- Article
- 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
- Smoking increases the risk of early postoperative infection after elective total hip arthroplasty: Evidence from a Nationwide Japanese database.International orthopaedics · 2026Article
- Bridging Mouth and Metal: Dental Hygiene and the Risk of Periprosthetic Joint Infection.Orthopedic reviews · 2026Article
- The Influence of Multiple Modifiable Risk Factors on 30-day Readmissions and 90-day Major Complications After a Total Hip and Knee Arthroplasty: An Analysis of a Large Claims Database.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Do modifiable patient factors increase the risk of postoperative complications after total joint arthroplasty?Archives of orthopaedic and trauma surgery · 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
- Cumulative effect of chronic dehydration and age on postoperative complications after total shoulder arthroplasty.JSES international · 2024Article
- The Association of Season of Surgery and Patient Reported Outcomes following Total Hip Arthroplasty.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- The role of preoperative aspartate aminotransferase-to-platelet ratio index in predicting complications following total hip arthroplasty.BMC musculoskeletal disorders · 2023Article
- Preoperative demographics and laboratory markers may be associated with early dislocation after total hip arthroplasty.Journal of experimental orthopaedics · 2023Article
- Logistic Regression Analysis of Risk Factors and Improvement of Clinical Treatment of Traumatic Arthritis after Total Hip Arthroplasty (THA) in the Treatment of Acetabular Fractures.Computational and mathematical methods in medicine · 2022Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is mounting evidence that smoking, abnormal body mass index (BMI), uncontrolled diabetes, and poor nutritional status are associated with complications after total hip arthroplasty (THA). The goal of the present study was to evaluate the consequences of failure to medically optimize Medicare-eligible patients with respect to these key modifiable health targets by assessing complications in the early postoperative period after THA.
methodsThe National Surgical Quality Improvement Program database was queried for all primary THAs performed in 2018. Data were collected on preoperative serum albumin, BMI, diabetes, and tobacco use as well as postoperative infections, readmissions, complications, and mortality. We identified 47,924 THA patients with a median BMI of 29 kg/m
resultsWe found that preoperative albumin <3.5 g/dL, BMI ≥40 kg/m
conclusionsLow albumin, elevated BMI, tobacco use, and diabetes are associated with increased risk of postoperative infection, readmission, any complication, and mortality after primary THA. Low albumin poses the greatest risk of these. Preoperative optimization should be obtained in all patients before elective surgery, and the final decision for surgery should be individually made between a surgeon and patient. LEVEL OF EVIDENCE: IV.
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