1. Why malnutrition in orthopaedic elective patient is still an issue? A recent review of the literature.
- Author
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Pes, Marco, Pulino, Alessio, Pisanu, Francesco, and Manunta, Andrea Fabio
- Subjects
ELECTIVE surgery ,ONLINE information services ,LENGTH of stay in hospitals ,INTENSIVE care units ,NUTRITIONAL assessment ,ORTHOPEDIC surgery ,SYSTEMATIC reviews ,BLOOD transfusion ,SURGICAL complications ,PATIENTS ,MEDICAL care costs ,ARTIFICIAL joints ,TREATMENT effectiveness ,HOSPITAL admission & discharge ,MALNUTRITION ,SURGICAL site infections ,RESEARCH funding ,MEDLINE ,DISEASE risk factors - Abstract
Background: Malnutrition is a known risk factor for complications and adverse outcomes after elective total joint arthroplasty (TJA). The progressive increase in the ageing of world population and in the numbers of TJA, widens the demand for a faster post-operative recovery and function. The aim of this study was to review the literature regarding: post-operative transfusion, infections, wound complications, length of hospital stay (LOS), rate of admission in intensive care unit (ICU), and total patient charges, in malnourished patient undergoing TJA. Methods: The search reviewed all fields of the available peer-reviewed literature, published in the English language during the last seven years 2015โ2022. We started from a total of 745 studies and finally we included in the review 16 articles. Results: In 10 studies, an increased surgical site infection was shown, being by far the most common complication, in 8 studies, malnutrition was associate with the increase of the average length of stay (LOS), and in 5 studies, the major founding was the increase in costs. An increase of the morbidity was found in 3 studies, instead a larger number of transfusions was highlighted in 2 studies. Lastly, one study showed a major unplanned ICU admission rate. Conclusions: Although the literature trend indicates that the nutritional status of TJA candidate patients is a parameter that influences the surgical outcome, in particular surgical site infections, length of stay, and costs, there are, to the authors' knowledge, no studies aimed at identifying validated and recognized protocols for the correction of malnutrition. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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