The Role of Body Mass Index and Hypoalbuminemia on Postoperative Outcomes in Patients Undergoing Total Knee Arthroplasty.

Journal of surgical orthopaedic advances Pub Date : 2023-01-01

Alexis Gaskin, Rolanda Willacy, Regan Burgess, Kyra Caldwell, Olubode A Olufajo, Shelton McKenzie

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Abstract

Obesity and malnutrition are modifiable risk factors associated with increased postoperative complications following total knee arthroplasty (TKA). Obesity is paradoxically associated with malnutrition. Previous studies have only evaluated the impact of body mass index (BMI) and hypoalbuminemia separately in relation to postoperative TKA outcomes and have attempted to compare the impact of these modifiable risk factors. Our study seeks to establish if increased BMI and decreased albumin levels have a compounding effect on postoperative outcomes. A retrospective analysis was conducted using the 2011-2014 American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) dataset. This study reaffirmed that increased BMI and low albumin levels are associated with increased postoperative complications following TKA. Moreover, this study demonstrated that they do not have a compounding effect, but rather only help predict outcomes when analyzed individually. (Journal of Surgical Orthopaedic Advances 32(2) 114-117, 2023).

本刊更多论文

体重指数和低白蛋白血症对全膝关节置换术患者术后预后的影响。

肥胖和营养不良是与全膝关节置换术(TKA)术后并发症增加相关的可改变的危险因素。肥胖自相矛盾地与营养不良联系在一起。先前的研究仅分别评估了体重指数(BMI)和低白蛋白血症对术后TKA结果的影响，并试图比较这些可改变的危险因素的影响。我们的研究旨在确定BMI升高和白蛋白水平降低是否对术后结果有复合影响。使用2011-2014年美国外科医师学会-国家手术质量改进计划(ACS-NSQIP)数据集进行回顾性分析。本研究重申，体重指数升高和白蛋白水平降低与TKA术后并发症增加有关。此外，这项研究表明，它们没有复合效应，而只是在单独分析时帮助预测结果。(外科骨科进展32(2):114- 117,2023)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of surgical orthopaedic advances

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