Minyoung Kim
Ulsan University, South Korea
Title: Effect of the Nutritional status and short-term outcome in Orthopedic Surgery
Biography
Biography: Minyoung Kim
Abstract
Malnutrition is a risk factor for postoperative complications. The purpose of this study was to determine the nutritional status and surgery outcome in orthopedic surgery patients. Methods: This study enrolled 377 patients who underwent orthopedic surgery. Patient demographics and postoperative complications were recorded. Nutritional status was assessed using Nutritional risk screening (NRS 2002)
and haematological markers of serum albumin (ALB), hemoglobin(Hb) and total protein level. Suboptimal nutrition was defined as NRS 2002 score ≥ 3, a serum ALB level of <3.5 g/dl and a Hb of <10.0 g/dl and total protein <6.0 g/dl. Patients were also followed for outcome. Results: Malnutritional risk developed in 58 patients (17.2%). Bivariate analysis identified old age, low physical activity, hip and spine surgery and high ASA score as risk factors. Worse outcomes, including increased hospital mortality, length of stay in hospital, infection, readmission and discharge at care facilities, occurred in subjects who developed malnourished patients. Conclusions: Orthopedic surgery in elderly patients was associated with a high incidence of malnourished patients. Malnourished patients were at a significantly increased risk for postoperative complication. The results of the current study regarding patient populations vulnerable to malnourished patients should be taken into account so that such patients could be identified preoperatively or in the immediate postoperative period