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Date Published: 28/08/2025
Abstract Views: 31
Views PDF: 13
DOI: https://doi.org/10.56535/jmpm.v50i6.1324
Issue
Vol. 50 No. 6 (2025): TẠP CHÍ Y DƯỢC HỌC QUÂN SỰ SỐ 6 - 2025
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Articles
How to Cite
Nguyễn, T. C. T., Nguyen, D. C., Vu, N. D., & Dang, H. A. (2025). EVALUATION OF SERUM ALBUMIN CHANGES AFTER PRIMARY HIP ARTHROPLASTY IN ELDERLY PATIENTS. Journal of Military Pharmaco-medicine, 50(6), 186-193. https://doi.org/10.56535/jmpm.v50i6.1324

EVALUATION OF SERUM ALBUMIN CHANGES AFTER PRIMARY HIP ARTHROPLASTY IN ELDERLY PATIENTS

Trần Cảnh Tùng Nguyễn1, , Duc Canh Nguyen2, Nhat Dinh Vu2, Hoang Anh Dang2
1 Bộ môn - TT CTCH, Bệnh viện Quân y 103, Học viện Quân Y
2 Trung tâm Chấn thương Chỉnh hình, Bệnh viện Quân y 103, Học viện Quân y

Main Article Content

Abstract

Objectives: To evaluate changes in serum albumin after primary hip arthroplasty in elderly patients. Methods: A retrospective study was conducted on 142 patients aged ≥ 60 years, including 86 patients who underwent hemiarthroplasty and 57 patients who underwent total hip arthroplasty at Military Hospital 103 from April 2022 to December 2024. Serum albumin levels were measured preoperatively and 24 hours postoperatively. Results: The mean age was 74.27 ± 6.99 years. Patients undergoing hemiarthroplasty were older and showed a greater decrease in serum albumin. Serum albumin decreased significantly after surgery in both groups, with the magnitude of change positively correlated with age (r = 0.44; p < 0.0001) and female gender (p = 0.0037). No significant association was found between albumin changes and surgery duration. Conclusion: Hip arthroplasty surgery leads to a reduction in serum albumin in elderly patients. Pre- and postoperative nutritional assessment and supplementation play an important role in optimizing surgical outcomes.

Article Details

Keywords

Hip arthroplasty, Serum albumin, Elderly

References

1. Keating JF, Grant A, Masson M, Scott NW, Forbes JF. Randomized comparison of reduction and fixation, bipolar hemiarthroplasty, and total hip arthroplasty. J Bone Joint Surg Am. 2006; 88(2):249-260.
2. Cederholm T, Jensen GL, Correia M, et al. GLIM criteria for the diagnosis of malnutrition - A consensus report. Clin Nutr. 2019; 38(1):1-9.
3. Weimann A, Braga M, Carli F, et al. ESPEN guideline: Clinical nutrition in surgery. Clin Nutr. 2017; 36(3):623-650.
4. Gibbs J, Cull W, Henderson W, et al. Preoperative serum albumin level as a predictor of operative mortality and morbidity. Arch Surg. 1999; 134(1):36-42.
5. Yeh DD, Johnson E, Harrison T, et al. Serum levels of albumin and prealbumin do not correlate with nutrient delivery in surgical intensive care unit patients. Nutr Clin Pract. 2018; 33(3):419-425.
6. Keller U. Nutritional laboratory markers in malnutrition. J Clin Med. 2019; 8(6):775.
7. Kamath AF, Ong KL, Lau E, et al. Quantifying the burden of in-hospital complications after total hip arthroplasty. J Arthroplasty. 2015; 30(2):193-198.
8. Jie B, Jiang ZM, Nolan MT, Zhu SN, Yu K, Kondrup J. Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk. Nutrition. 2012; 28(10):1022-1027.
9. Hopley C, Stengel D, Ekkernkamp A, Wich M. Primary total hip arthroplasty versus hemiarthroplasty for displaced intracapsular hip fractures in older patients: Systematic review. BMJ. 2010; 340:c2332.
10. Franceschi C, Campisi J. Chronic inflammation (inflammaging) and its potential contribution to age-associated diseases. J Gerontol A Biol Sci Med Sci. 2014; 69(1):S4-9.