Targeted nutritional supplementation has been successfully used in multiple clinical settings. Enhanced outcomes have been seen for over 20 years  in burn, plastic, ulcer, and reconstructive surgery of head & neck cancer. Recent orthopedic studies  have now demonstrated improved post-op clinical outcomes with nutritional supplementation in  trauma and total knee arthroplasty patients.

Nutritional status has recently been identified as a strong predictive factor in shoulder arthroplasty outcomes.

Shoulder Arthroplasty Studies:

  • Malnutrition in elective shoulder arthroplasty: a multi-institutional retrospective study of preoperative albumin and adverse outcomes.

    Significantly increased risk for: 

    *Blood transfusion

    *Longer hospital (LOS)

    *Death within 30 days of surgery

    (CLICK HERE TO READ STUDY)

    J Shoulder Elbow Surg (2021)

  • Malnutrition: a marker for increased complications, mortality, and LOS after total shoulder arthroplasty.

    Malnutrition Increases:

    *LENGTH OF STAY

    Primary TSA     26.8% vs. 13.6%

    Revision TSA    30.8% vs. 6.7%

    *DISCHARGE TO REHAB/SNF

    Primary TSA     18.3% vs. 10.3% 

    Revision TSA    26.9% vs. 4.4%

    (CLICK HERE TO READ STUDY)

    J Shoulder Elbow Surg (2016)

  • Modifiable risk factors increase length of stay and 90-day cost of care after shoulder arthroplasty.

    Malnutrition Increases:

    *Cost : 90-day charges + $6971

    *LOS: + 3.7 days

    *Risk of 90-day readmission: 3.0x fold 

    (CLICK HERE TO READ STUDY)

    J Shoulder Elbow Surg (2022)

References

XR is currently conducting pilot studies in evaluating the impact of Periop nutritional supplementation on shoulder arthroplasty outcomes.

Additional Research Studies:

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