Increased risk of complications in patients with hypoalbuminemia undergoing revision total hip arthroplasty.

Abstract

The relationship between hypoalbuminemia and complications after revision total hip arthroplasty (THA) has not been established. We hypothesize that hypoalbuminemia is associated with complications in patients undergoing revision THA. The ACS-NSQIP database was queried for patients undergoing revision THA. Chi square and regression analyses were used to assess the relationship between hypoalbuminemia, demographics, other comorbidities, and complications. Hypoalbuminemia is associated with an increased risk of reoperation, bleeding complications, surgical site infections, non-routine discharge, medical complications, and surgical complications. Albumin levels should be considered in the preoperative planning of patients undergoing revision THA for possible nutritional optimization.