Early Postoperative Hypoalbuminaemia as a Risk Factor for Postoperative Pneumonia Following Hip Fracture Surgery

Kyun-Ho Shin, Jae-Joong Kim, Sei-Wook Son, Kyo-Sun Hwang, Seung-Beom Han Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul, South KoreaCorrespondence: Seung-Beom HanKorea University College of Medicine, 73 Inchon-Ro, Sungbuk-gu, Seoul 02841, South KoreaTel...

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Autores principales:	Shin KH, Kim JJ, Son SW, Hwang KS, Han SB
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	osteoporosis osteoporotic fracture albumin complication Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/b795077c12e44505a73b135a439e144d
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spelling	oai:doaj.org-article:b795077c12e44505a73b135a439e144d2021-12-02T12:33:35ZEarly Postoperative Hypoalbuminaemia as a Risk Factor for Postoperative Pneumonia Following Hip Fracture Surgery1178-1998https://doaj.org/article/b795077c12e44505a73b135a439e144d2020-10-01T00:00:00Zhttps://www.dovepress.com/early-postoperative-hypoalbuminaemia-as-a-risk-factor-for-postoperativ-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Kyun-Ho Shin, Jae-Joong Kim, Sei-Wook Son, Kyo-Sun Hwang, Seung-Beom Han Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul, South KoreaCorrespondence: Seung-Beom HanKorea University College of Medicine, 73 Inchon-Ro, Sungbuk-gu, Seoul 02841, South KoreaTel +82-2-920-5924Fax +82-2-924-2471Email oshan@korea.ac.krPurpose: Postoperative pneumonia is a common and devastating complication of hip fracture surgery in older individuals. This study aimed to determine the relationship between early postoperative hypoalbuminaemia and pneumonia after hip fracture surgery.Patients and Methods: In this retrospective cohort study conducted at one centre, we reviewed the medical records of 1155 consecutive patients (> 60 years) who underwent hip fracture surgery. Multivariate logistic regression analysis was performed to identify the independent risk factors for postoperative pneumonia. After determining the cut-off value for postoperative serum albumin, the patients were divided into two groups according to the minimum serum albumin level recorded during the first two postoperative days: group A included patients with a minimum serum album level less than 3.0 g/dL and group B included patients with a minimum serum album level of at least 3.0 g/dL. The prevalence of postoperative pneumonia was analysed using inverse probability of treatment weighting (IPTW) and propensity score matching (PSM) analyses.Results: The incidence of postoperative pneumonia following hip fracture surgery was 5.1% (n=59). Age, cardiovascular disease, and early postoperative hypoalbuminaemia during the first two postoperative days were independent risk factors for postoperative pneumonia. Early postoperative hypoalbuminaemia was associated with postoperative pneumonia development in the PSM and IPTW analyses (P = 0.016 and < 0.001, respectively).Conclusion: This study demonstrated that early postoperative hypoalbuminaemia is an independent risk factor for the development of postoperative pneumonia in patients undergoing hip fracture surgery.Keywords: osteoporosis, osteoporotic fracture, albumin, complicationShin KHKim JJSon SWHwang KSHan SBDove Medical Pressarticleosteoporosisosteoporotic fracturealbumincomplicationGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 1907-1915 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	osteoporosis osteoporotic fracture albumin complication Geriatrics RC952-954.6
spellingShingle	osteoporosis osteoporotic fracture albumin complication Geriatrics RC952-954.6 Shin KH Kim JJ Son SW Hwang KS Han SB Early Postoperative Hypoalbuminaemia as a Risk Factor for Postoperative Pneumonia Following Hip Fracture Surgery
description	Kyun-Ho Shin, Jae-Joong Kim, Sei-Wook Son, Kyo-Sun Hwang, Seung-Beom Han Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, Seoul, South KoreaCorrespondence: Seung-Beom HanKorea University College of Medicine, 73 Inchon-Ro, Sungbuk-gu, Seoul 02841, South KoreaTel +82-2-920-5924Fax +82-2-924-2471Email oshan@korea.ac.krPurpose: Postoperative pneumonia is a common and devastating complication of hip fracture surgery in older individuals. This study aimed to determine the relationship between early postoperative hypoalbuminaemia and pneumonia after hip fracture surgery.Patients and Methods: In this retrospective cohort study conducted at one centre, we reviewed the medical records of 1155 consecutive patients (> 60 years) who underwent hip fracture surgery. Multivariate logistic regression analysis was performed to identify the independent risk factors for postoperative pneumonia. After determining the cut-off value for postoperative serum albumin, the patients were divided into two groups according to the minimum serum albumin level recorded during the first two postoperative days: group A included patients with a minimum serum album level less than 3.0 g/dL and group B included patients with a minimum serum album level of at least 3.0 g/dL. The prevalence of postoperative pneumonia was analysed using inverse probability of treatment weighting (IPTW) and propensity score matching (PSM) analyses.Results: The incidence of postoperative pneumonia following hip fracture surgery was 5.1% (n=59). Age, cardiovascular disease, and early postoperative hypoalbuminaemia during the first two postoperative days were independent risk factors for postoperative pneumonia. Early postoperative hypoalbuminaemia was associated with postoperative pneumonia development in the PSM and IPTW analyses (P = 0.016 and < 0.001, respectively).Conclusion: This study demonstrated that early postoperative hypoalbuminaemia is an independent risk factor for the development of postoperative pneumonia in patients undergoing hip fracture surgery.Keywords: osteoporosis, osteoporotic fracture, albumin, complication
format	article
author	Shin KH Kim JJ Son SW Hwang KS Han SB
author_facet	Shin KH Kim JJ Son SW Hwang KS Han SB
author_sort	Shin KH
title	Early Postoperative Hypoalbuminaemia as a Risk Factor for Postoperative Pneumonia Following Hip Fracture Surgery
title_short	Early Postoperative Hypoalbuminaemia as a Risk Factor for Postoperative Pneumonia Following Hip Fracture Surgery
title_full	Early Postoperative Hypoalbuminaemia as a Risk Factor for Postoperative Pneumonia Following Hip Fracture Surgery
title_fullStr	Early Postoperative Hypoalbuminaemia as a Risk Factor for Postoperative Pneumonia Following Hip Fracture Surgery
title_full_unstemmed	Early Postoperative Hypoalbuminaemia as a Risk Factor for Postoperative Pneumonia Following Hip Fracture Surgery
title_sort	early postoperative hypoalbuminaemia as a risk factor for postoperative pneumonia following hip fracture surgery
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/b795077c12e44505a73b135a439e144d
work_keys_str_mv	AT shinkh earlypostoperativehypoalbuminaemiaasariskfactorforpostoperativepneumoniafollowinghipfracturesurgery AT kimjj earlypostoperativehypoalbuminaemiaasariskfactorforpostoperativepneumoniafollowinghipfracturesurgery AT sonsw earlypostoperativehypoalbuminaemiaasariskfactorforpostoperativepneumoniafollowinghipfracturesurgery AT hwangks earlypostoperativehypoalbuminaemiaasariskfactorforpostoperativepneumoniafollowinghipfracturesurgery AT hansb earlypostoperativehypoalbuminaemiaasariskfactorforpostoperativepneumoniafollowinghipfracturesurgery
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Early Postoperative Hypoalbuminaemia as a Risk Factor for Postoperative Pneumonia Following Hip Fracture Surgery

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