Interview based malnutrition assessment can predict adverse events within 6 months after primary and revision arthroplasty – a prospective observational study of 351 patients
Abstract Background Being at risk for malnutrition can be observed among hospitalized patients of all medical specialties. There are only few studies in arthroplasty dealing with defining and assessing malnutrition as such a potentially risk. This study aims to identify the risk for malnutrition fol...
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| Format: | Article |
| Language: | English |
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BMC
2018-03-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | http://link.springer.com/article/10.1186/s12891-018-2004-z |
| _version_ | 1818928479616368640 |
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| author | Christoph Ihle Christoph Weiß Gunnar Blumenstock Ulrich Stöckle Björn Gunnar Ochs Christian Bahrs Andreas Nüssler Anna Janine Schreiner |
| author_facet | Christoph Ihle Christoph Weiß Gunnar Blumenstock Ulrich Stöckle Björn Gunnar Ochs Christian Bahrs Andreas Nüssler Anna Janine Schreiner |
| author_sort | Christoph Ihle |
| collection | DOAJ |
| description | Abstract Background Being at risk for malnutrition can be observed among hospitalized patients of all medical specialties. There are only few studies in arthroplasty dealing with defining and assessing malnutrition as such a potentially risk. This study aims to identify the risk for malnutrition following primary (pAP) and revision arthroplasty (rAP) (1) using non-invasive interview based assessment tools and to analyze effects on clinical outcome (2) and quality of life (3). Methods A consecutive series of hospitalized patients of a Department of Arthroplasty at a Level 1 Trauma Center in Western Europe was observed between June 2014 and June 2016. Patients were monitored for being at risk for malnutrition at hospital admission (T1) and 6 months post surgery (T2) by non-invasive interview based assessment tools (NRS 2002, SF-MNA, MNA). Adverse events, length of hospital stay and quality of life (HRQL, SF-36) were monitored. Results 351 (283 pAP/ 68 rAP) patients were included. At T1, 13.4% (47) / 23.9% (84) / 27.4% (96) and at T2 7.3% (18) / 17.1% (42) / 16.0% (39) of all patients were at risk for malnutrition regarding NRS/SF-MNA/MNA. Prevalence of malnutrition risk was higher in rAP (22.1–29.4%) compared to pAP (11.3–26.9%). Patients being at risk for malnutrition showed prolonged hospitalization (NRS 14.5 to 12.5, SF-MNA 13.7 to 12.4, MNA 13.9 to 12.3 days, p < 0.05), delayed mobilization (NRS 2.1 to 1.7, SF-MNA 1.8 to 1.7, MNA 1.9 to 1.7 days), lower values in HRQL and more adverse events. Conclusions There is a moderate to high prevalence of risk for malnutrition in arthroplasty that can easily be assessed through interview based screening tools. Being at risk for malnutrition can reduce the clinical outcome following pAP and rAP. Patients with an impaired nutritional status show reduced values in physical and mental aspects of HRQL. Non-invasive interview-based nutritional assessment can predict adverse events in primary and revision total arthroplasty and can therefore help identifying patients at risk before surgery. Trial registration The study protocol was approved by the local ethics committee (193/2014BO2) and registered at the German Clinical Trials Register according to WHO standard (DKRS00006192). |
| first_indexed | 2024-12-20T03:29:34Z |
| format | Article |
| id | doaj.art-ce10660c3cab46ceae52cc054cf46931 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-20T03:29:34Z |
| publishDate | 2018-03-01 |
| publisher | BMC |
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| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-ce10660c3cab46ceae52cc054cf469312022-12-21T19:55:01ZengBMCBMC Musculoskeletal Disorders1471-24742018-03-0119111110.1186/s12891-018-2004-zInterview based malnutrition assessment can predict adverse events within 6 months after primary and revision arthroplasty – a prospective observational study of 351 patientsChristoph Ihle0Christoph Weiß1Gunnar Blumenstock2Ulrich Stöckle3Björn Gunnar Ochs4Christian Bahrs5Andreas Nüssler6Anna Janine Schreiner7Siegfried Weller Institute for Trauma Research, BG Trauma Center Tübingen, Eberhard Karls University TübingenSiegfried Weller Institute for Trauma Research, BG Trauma Center Tübingen, Eberhard Karls University TübingenDepartment of Clinical Epidemiology and Applied Biometry, Eberhard Karls University TübingenSiegfried Weller Institute for Trauma Research, BG Trauma Center Tübingen, Eberhard Karls University TübingenDepartment of Orthopedics and Trauma Surgery, Medical Center, Albert-Ludwigs-University of Freiburg, Faculty of MedicineSiegfried Weller Institute for Trauma Research, BG Trauma Center Tübingen, Eberhard Karls University TübingenSiegfried Weller Institute for Trauma Research, BG Trauma Center Tübingen, Eberhard Karls University TübingenSiegfried Weller Institute for Trauma Research, BG Trauma Center Tübingen, Eberhard Karls University TübingenAbstract Background Being at risk for malnutrition can be observed among hospitalized patients of all medical specialties. There are only few studies in arthroplasty dealing with defining and assessing malnutrition as such a potentially risk. This study aims to identify the risk for malnutrition following primary (pAP) and revision arthroplasty (rAP) (1) using non-invasive interview based assessment tools and to analyze effects on clinical outcome (2) and quality of life (3). Methods A consecutive series of hospitalized patients of a Department of Arthroplasty at a Level 1 Trauma Center in Western Europe was observed between June 2014 and June 2016. Patients were monitored for being at risk for malnutrition at hospital admission (T1) and 6 months post surgery (T2) by non-invasive interview based assessment tools (NRS 2002, SF-MNA, MNA). Adverse events, length of hospital stay and quality of life (HRQL, SF-36) were monitored. Results 351 (283 pAP/ 68 rAP) patients were included. At T1, 13.4% (47) / 23.9% (84) / 27.4% (96) and at T2 7.3% (18) / 17.1% (42) / 16.0% (39) of all patients were at risk for malnutrition regarding NRS/SF-MNA/MNA. Prevalence of malnutrition risk was higher in rAP (22.1–29.4%) compared to pAP (11.3–26.9%). Patients being at risk for malnutrition showed prolonged hospitalization (NRS 14.5 to 12.5, SF-MNA 13.7 to 12.4, MNA 13.9 to 12.3 days, p < 0.05), delayed mobilization (NRS 2.1 to 1.7, SF-MNA 1.8 to 1.7, MNA 1.9 to 1.7 days), lower values in HRQL and more adverse events. Conclusions There is a moderate to high prevalence of risk for malnutrition in arthroplasty that can easily be assessed through interview based screening tools. Being at risk for malnutrition can reduce the clinical outcome following pAP and rAP. Patients with an impaired nutritional status show reduced values in physical and mental aspects of HRQL. Non-invasive interview-based nutritional assessment can predict adverse events in primary and revision total arthroplasty and can therefore help identifying patients at risk before surgery. Trial registration The study protocol was approved by the local ethics committee (193/2014BO2) and registered at the German Clinical Trials Register according to WHO standard (DKRS00006192).http://link.springer.com/article/10.1186/s12891-018-2004-zMalnutritionArthroplastyInterview based assessmentNRS 2002MNASF-MNA |
| spellingShingle | Christoph Ihle Christoph Weiß Gunnar Blumenstock Ulrich Stöckle Björn Gunnar Ochs Christian Bahrs Andreas Nüssler Anna Janine Schreiner Interview based malnutrition assessment can predict adverse events within 6 months after primary and revision arthroplasty – a prospective observational study of 351 patients BMC Musculoskeletal Disorders Malnutrition Arthroplasty Interview based assessment NRS 2002 MNA SF-MNA |
| title | Interview based malnutrition assessment can predict adverse events within 6 months after primary and revision arthroplasty – a prospective observational study of 351 patients |
| title_full | Interview based malnutrition assessment can predict adverse events within 6 months after primary and revision arthroplasty – a prospective observational study of 351 patients |
| title_fullStr | Interview based malnutrition assessment can predict adverse events within 6 months after primary and revision arthroplasty – a prospective observational study of 351 patients |
| title_full_unstemmed | Interview based malnutrition assessment can predict adverse events within 6 months after primary and revision arthroplasty – a prospective observational study of 351 patients |
| title_short | Interview based malnutrition assessment can predict adverse events within 6 months after primary and revision arthroplasty – a prospective observational study of 351 patients |
| title_sort | interview based malnutrition assessment can predict adverse events within 6 months after primary and revision arthroplasty a prospective observational study of 351 patients |
| topic | Malnutrition Arthroplasty Interview based assessment NRS 2002 MNA SF-MNA |
| url | http://link.springer.com/article/10.1186/s12891-018-2004-z |
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