Introduction: Hypoalbuminemia (<3.5 mg/dL) is an accepted marker of malnutrition, but it was unknown if low albumin remained an independent predictor of post-operative complications following primary total hip (THA) and knee (TKA) arthroplasty.
Methods: The National Surgical Quality Improvement Program (NSQIP) database was queried for patients undergoing primary THA and TKA. Propensity score-matched analysis was used to control for co-morbid conditions.
Results: Patients with low albumin demonstrated greater odds of death (by 2-21x), morbidity (by 25-51%), re-admission (by 45-54%), and increased length of stay.
Conclusion: Low albumin remains an independent predictor of adverse outcomes following primary total joint arthroplasty.
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| http://dx.doi.org/10.1016/j.jor.2019.04.019 | DOI Listing |
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