HYPOALBUMINEMIA IN MICROSURGICAL FLAPS OF THE MUSCULOSKELETAL APPARATUS

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSILVA, Ana Carolina Oliveira da
dc.contributor.authorSILVA, Gustavo Bersani
dc.contributor.authorCHO, Alvaro Baik
dc.contributor.authorWEI, Teng Hsiang
dc.contributor.authorMATTAR JUNIOR, Rames
dc.contributor.authorIAMAGUCHI, Raquel Bernardelli
dc.date.accessioned2020-10-15T14:37:21Z
dc.date.available2020-10-15T14:37:21Z
dc.date.issued2020
dc.description.abstractObjective: To evaluate if the levels of serum total protein and serum albumin are risk factors for surgical complications of free flap limb reconstruction. Methods: Consecutive inclusion of all patients undergoing microsurgical flaps for limb reconstruction of complex injuries. We recorded epidemiological and laboratory data, including total proteins and fractions, for descriptive and analytical statistics. Results: Our study analyzed one microsurgical flap from 35 patients that underwent complex injuries of the limbs. In total, 23 patients were men, and mean age of all patients was 35 years. After statistical analysis, no influence of pre or postoperative hypoalbuminemia was observed on the incidence of complications. Patients with hypoalbuminemia had a higher length of stay than those with normal albumin levels (p = 0.008). Conclusion: We observed that 71% of patients had hypoalbuminemia in early postoperative period and we suggest a nutritional support for patients requiring complex traumatic limb reconstruction. Hypoalbuminemia in patients subjected to microsurgical flaps for the treatment of complex traumatic limb injuries did not influence the complications that required surgical reintervention; However, it was associated with prolonged hospital stay.eng
dc.description.indexPubMedeng
dc.identifier.citationACTA ORTOPEDICA BRASILEIRA, v.28, n.4, p.168-171, 2020
dc.identifier.doi10.1590/1413-785220202804233186
dc.identifier.eissn1809-4406
dc.identifier.issn1413-7852
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/37825
dc.language.isoeng
dc.publisherATHA COMUNICACAO & EDITORAeng
dc.relation.ispartofActa Ortopedica Brasileira
dc.rightsopenAccesseng
dc.rights.holderCopyright ATHA COMUNICACAO & EDITORAeng
dc.subjectFree Tissue Flapseng
dc.subjectRisk Factorseng
dc.subjectHypoalbuminemiaeng
dc.subjectPostoperative Complicationseng
dc.subject.othernutritioneng
dc.subject.othermanagementeng
dc.subject.otherqualityeng
dc.subject.otherneckeng
dc.subject.otherheadeng
dc.subject.wosOrthopedicseng
dc.titleHYPOALBUMINEMIA IN MICROSURGICAL FLAPS OF THE MUSCULOSKELETAL APPARATUSeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.citation.scopus2
hcfmusp.contributor.author-fmusphcANA CAROLINA OLIVEIRA DA SILVA
hcfmusp.contributor.author-fmusphcGUSTAVO BERSANI SILVA
hcfmusp.contributor.author-fmusphcALVARO BAIK CHO
hcfmusp.contributor.author-fmusphcTENG HSIANG WEI
hcfmusp.contributor.author-fmusphcRAMES MATTAR JUNIOR
hcfmusp.contributor.author-fmusphcRAQUEL BERNARDELLI IAMAGUCHI DA COSTA
hcfmusp.description.beginpage168
hcfmusp.description.endpage171
hcfmusp.description.issue4
hcfmusp.description.volume28
hcfmusp.origemWOS
hcfmusp.origem.pubmed32788857
hcfmusp.origem.scieloSCIELO:S1413-78522020000400168
hcfmusp.origem.scopus2-s2.0-85090366293
hcfmusp.origem.wosWOS:000556912500003
hcfmusp.publisher.citySAO PAULO SPeng
hcfmusp.publisher.countryBRAZILeng
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Artigos e Materiais de Revistas Científicas - HC/IOT
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