Obesity Status Is A Predictor Of In-Hospital Postoperative Complications In Patients Undergoing Elective Total Knee Arthroplasty
Refereed conference paper presented and published in conference proceedings


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AbstractBackground
Malnutrition is a common and modifiable risk factor for postoperative complications and adverse outcomes in orthopaedics.

Objectives
The purpose of this study was to identify biomarkers of malnutrition in patients undergoing elective total knee arthroplasty (TKA) that are predictive of adverse in-hospital postoperative complications, to facilitate the identification of at-risk patients for nutritional optimization before surgery.

Study Design & Methods
A total of 626 patients who underwent elective TKA between 2013 and 2017 were evaluated; potential biomarkers of preoperative malnutrition, including hypoalbuminemia (serum albumin <3.5g/dL), total lymphocyte count (TLC <1,500cells/mm3), and body mass index (BMI), were assessed for any association with in-hospital postoperative complications.

Results
The prevalence of hypoalbuminemia, low TLC, overweight, obese class I, and obese class II were respectively 2.72%, 33.4%, 14.8%, 44.5%, and 26.9%. There was a significant association between obesity class II (BMI ≥30.0kg/m2) and rates of postoperative complications (p<0.001), and no significant association between such complications and hypoalbuminemia (p=0.539), low TLC (p=0.583), overweight (p=0.436), or obesity class I (p=0.749).

Conclusions
Obesity class II is a reliable biomarker of preoperative malnutrition for predicting in-hospital postoperative complications after elective TKA, whereas hypoalbuminemia, low TLC, overweight, and obesity class I was not significantly associated with increased risk of such complications.
All Author(s) ListSheryl Lok Chi Man, Helen Li, Kwong Yin Chung, Kevin Ki Wai Ho
Name of ConferenceThe 20th EFORT Congress
Start Date of Conference05/06/2019
End Date of Conference07/06/2019
Place of ConferenceLisbon
Country/Region of ConferencePortugal
Year2019
LanguagesEnglish-United Kingdom

Last updated on 2019-21-06 at 16:27