Patient Optimization-Strategies That Work: Malnutrition

被引：45

作者：

Golladay, Gregory J. ^{[1
]}

Satpathy, Jibanananda ^{[1
]}

Jiranek, William A. ^{[1
]}

机构：

[1] VCU Hlth, Dept Orthopaed Surg, POB 980153, Richmond, VA 23298 USA

来源：

JOURNAL OF ARTHROPLASTY | 2016年 / 31卷 / 08期

关键词：

malnutrition; optimization; arthroplasty; wound healing; infection; PREOPERATIVE NUTRITIONAL-STATUS; PERIPROSTHETIC JOINT INFECTION; VITAMIN-D; LYMPHOCYTE COUNT; HIP-REPLACEMENT; MORBID-OBESITY; ASSESSMENT MNA; ASCORBIC-ACID; RISK-FACTORS; COMPLICATIONS;

D O I：

10.1016/j.arth.2016.03.027

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: Patient optimization is receiving increasing attention as outcomes monitoring and bundled payments have been introduced in joint arthroplasty. Optimization of nutrition is an important aspect of perioperative management. Methods: This manuscript is a review of previously published material related to nutrition and the impact of malnutrition on surgical outcomes, with guidance for surgeons preparing patients for elective joint arthroplasty. Results: Patients with optimized nutritional parameters have fewer complications, especially related to wound healing and infection. Conclusion: Nutritional assessment and optimization should be a part of the perioperative management of patients undergoing lower extremity arthroplasty. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：1631 / 1634

页数：4

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