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The Archives of Bone and Joint Surgery، جلد ۱۰، شماره ۱۰، صفحات ۸۵۸-۸۶۲
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عنوان انگلیسی Hypoalbuminemia and the Higher Risk of Perioperative Sentinel Adverse Events in Patients Undergoing Total Shoulder Arthroplasty: A Propensity Score Matched Analysis
چکیده انگلیسی مقاله Background: The purpose of this study is to examine the effect of hypoalbuminemia (HA) on sentinel adverse eventsafter total shoulder arthroplasty (TSA).Methods: Patients who underwent primary TSA from 2015-2018 were collected from the National Surgical QualityImprovement Program (NSQIP) database. Patients with HA (serum albumin < 3.5 g/dL) were compared to patients withnormal serum albumin. A probit regression model was used to estimate a propensity score. Logistic regression wasperformed to evaluate the effect of HA on sentinel adverse events after surgery.Results: A total of 4,337 patients were included, 8.2% of patients had HA. Patients with HA had higher rates ofsentinel adverse events (14.0% vs 5.5%, P< 0.01) compared with patients who had normal serum albumin. Reoperation(4.5% vs 1.5%, P< 0.01), readmission (11.2% vs 3.9%, P< 0.01), urinary tract infection (0.8% vs 0.03%, P< 0.01) andpulmonary embolism (1.1% vs 0.2%, P=0.01) were higher in patients with HA. The odds ratio for a sentinel event forpatients with HA was 2.6 (95% CI: 1.54, 4.44, P< 0.01) when compared to a propensity score-matched control group.Conclusion: Patients with HA are at increased risk of sentinel adverse events following TSA compared to patients withnormal serum albumin levels.Level of evidence: II
کلیدواژه‌های انگلیسی مقاله Adverse events, Albumin, Hypoalbuminemia, Shoulder Arthroplasty
نویسندگان مقاله | Micheal Raad
Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, USA


| Matthew Best
Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, USA


| Davis Rogers
Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, USA


| Rachel Bronheim
Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, USA


| Suresh Nayar
Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, USA


| Varun Puvanesarajah
Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, USA


| Majd Marrache
Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, USA


| Uma. Srikumaran
Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, USA
نشانی اینترنتی https://abjs.mums.ac.ir/article_20976.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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