Revision Total Hip Arthroplasty: Evaluating the Utility of the Geriatric Nutritional Risk Index as a Risk Stratification Tool

Brandon E. Lung, MD; Steven H. Liu, BS; Jane Burgan, BS; Rachel A. Loyst, BS; Amanda Tedesco, BS; James J. Nicholson, MD; William C. McMaster, MD; Steven Yang, MD; Russell Stitzlein, MD

Arthroplasty Today (Aug 2024)

Revision Total Hip Arthroplasty: Evaluating the Utility of the Geriatric Nutritional Risk Index as a Risk Stratification Tool

Brandon E. Lung, MD,
Steven H. Liu, BS,
Jane Burgan, BS,
Rachel A. Loyst, BS,
Amanda Tedesco, BS,
James J. Nicholson, MD,
William C. McMaster, MD,
Steven Yang, MD,
Russell Stitzlein, MD

Affiliations

Brandon E. Lung, MD: Department of Orthopaedic Surgery, University of California Irvine, Orange, CA, USA; Corresponding author. Department of Orthopaedic Surgery, University of California Irvine, 101 The City Drive South, Pavillion 3, Orange, CA 92868, USA. Tel.: + 1 714 456 7012.
Steven H. Liu, BS: Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA
Jane Burgan, BS: Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA
Rachel A. Loyst, BS: Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA
Amanda Tedesco, BS: School of Medicine, University of California Irvine, Irvine, CA, USA
James J. Nicholson, MD: Department of Orthopaedic Surgery, Stony Brook University, Stony Brook, NY, USA
William C. McMaster, MD: Department of Orthopaedic Surgery, University of California Irvine, Orange, CA, USA
Steven Yang, MD: Department of Orthopaedic Surgery, University of California Irvine, Orange, CA, USA
Russell Stitzlein, MD: Department of Orthopaedic Surgery, University of California Irvine, Orange, CA, USA

Journal volume & issue: Vol. 28
p. 101430

Abstract

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Background: This study investigates the association between the Geriatric Nutritional Risk Index (GNRI), a measure of malnutrition risk, and 30-day postoperative complications following revision total hip arthroplasty (rTHA). Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried for all patients ≥65 who underwent aseptic rTHA between 2015 and 2021. The final study population (n = 7119) was divided into 3 groups based on preoperative GNRI: normal/reference (GNRI >98) (n = 4342), moderate malnutrition (92 ≤ GNRI ≤98) (n = 1367), and severe malnutrition (GNRI 2 days (OR 1.98, P 2 days (OR 5.41, P < .001), periprosthetic fractures (OR 1.61, P = .015), and mortality (OR 2.63, P < .001). Conclusions: Malnutrition has strong predictive value for short-term postoperative complications and has potential as an adjunctive risk stratification tool for geriatric patients undergoing rTHA.

Published in Arthroplasty Today

ISSN: 2352-3441 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery
Website: https://www.journals.elsevier.com/arthroplasty-today/

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Abstract

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