Atul Kamath - Department of Orthopaedic Surgery, Pennsylvania Hospital, Philadelphia, PA, USA
Caitlin McAuliffe - Department of Orthopaedic Surgery, Pennsylvania Hospital, Philadelphia, PA, USA
Laura Kosseim - Department of Medicine, Penn Presbyterian Medical Center, Medical Arts Building, Philadelphia, PA, USA
Finnah Pio - Department of Orthopaedic Surgery, Penn Presbyterian Medical Center,Philadelphia, PA, USA
Eric Hume - Department of Orthopaedic Surgery, Penn Presbyterian Medical Center, Philadelphia, PA, USA

    Background: Malnutrition has been linked to poor outcomes after elective joint arthroplasty, but the risk of unplanned postoperative intensive care unit (ICU) admission in malnourished arthroplasty patients is unknown. Methods: ۱۰۹۸ patients were followed as part of a prospective risk stratification program at a tertiary, high-volume arthroplasty center. Chronic malnutrition was defined as preoperative albumin Results: The overall incidence of malnutrition was ۱۶.۹% (primary and revision arthroplasty patients). Average BMI was highest for patients in albumin category ۳.۰-۳.۵ (BMI ۳۵.۷). Preoperative albumin postoperative ICU admission. Conclusion: Patients with poor nutritional status must be counseled on the risks of adverse medical complications.      

Albumin, Intensive Care Unit, Malnutrition, Risk Reduction, Total Joint Arthroplasty (replacement)