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:
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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
J Shoulder Elbow Surg (2021)
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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%
J Shoulder Elbow Surg (2016)
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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
J Shoulder Elbow Surg (2022)
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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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Total Knee Arthroplasty
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Trauma
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Hip Fracture
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Rotator Cuff Repair
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Spine
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ACL Reconstruction
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Muscle Loss
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