Patient Optimization-Strategies That Work: Malnutrition.
BACKGROUND: Patient optimization is receiving increasing attention as outcomes monitoring and bundled payments have been introduced in joint arthroplasty. Optimization of nutrition is an important aspect of perioperative management. METHODS: This manuscript is a review of previously published material related to nutrition and the impact of malnutrition on surgical outcomes, with guidance for surgeons preparing patients for elective joint arthroplasty. RESULTS: Patients with optimized nutritional parameters have fewer complications, especially related to wound healing and infection. CONCLUSION: Nutritional assessment and optimization should be a part of the perioperative management of patients undergoing lower extremity arthroplasty.
Golladay, GJ; Satpathy, J; Jiranek, WA
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