Evidence map›Paper›PMID 38983939›Full record

ArticleArthroplasty today2024

Revision Total Hip Arthroplasty: Evaluating the Utility of the Geriatric Nutritional Risk Index as a Risk Stratification Tool.

Brandon E Lung, Steven H Liu, Jane Burgan, Rachel A Loyst, Amanda Tedesco, James J Nicholson, William C McMaster, Steven Yang, Russell Stitzlein

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Arthroplasty today, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Brandon E LungDepartment of Orthopaedic Surgery, University of California Irvine, Orange, CA, USA.
Steven H LiuRenaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.
Jane BurganRenaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.
Rachel A LoystRenaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.
Amanda TedescoSchool of Medicine, University of California Irvine, Irvine, CA, USA.
James J NicholsonDepartment of Orthopaedic Surgery, Stony Brook University, Stony Brook, NY, USA.
William C McMasterDepartment of Orthopaedic Surgery, University of California Irvine, Orange, CA, USA.
Steven YangDepartment of Orthopaedic Surgery, University of California Irvine, Orange, CA, USA.
Russell StitzleinDepartment of Orthopaedic Surgery, University of California Irvine, Orange, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study investigates the association between the Geriatric Nutritional Risk Index (GNRI), a measure of malnutrition risk, and 30-day postoperative complications following revision total hip arthroplasty (rTHA). Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried for all patients ≥65 who underwent aseptic rTHA between 2015 and 2021. The final study population (n = 7119) was divided into 3 groups based on preoperative GNRI: normal/reference (GNRI >98) (n = 4342), moderate malnutrition (92 ≤ GNRI ≤98) (n = 1367), and severe malnutrition (GNRI <92) (n = 1410). Multivariate logistic regression analysis was conducted to investigate the association between preoperative GNRI and 30-day postoperative complications. Results: After controlling for significant covariates, the risk of experiencing any postoperative complications was significantly higher with both moderate (odds ratio [OR] 2.08, Conclusions: Malnutrition has strong predictive value for short-term postoperative complications and has potential as an adjunctive risk stratification tool for geriatric patients undergoing rTHA.

Indexed as

GeriatricGeriatric nutritional risk indexHipMalnutritionPostoperative complicationsRevision total hip arthroplasty

Identifiers

PMID38983939
PMCPMC11231559

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.