{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:51:44Z","timestamp":1781657504898,"version":"3.54.5"},"reference-count":35,"publisher":"SAGE Publications","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMR"],"published-print":{"date-parts":[[2023,3,15]]},"abstract":"<jats:p>BACKGROUND: Early complications after arthroplasty for geriatric femoral neck fractures are known to negatively affect postoperative recovery and increase postoperative mortality. Identifying risk factors associated with early complications after arthroplasty may offer an opportunity to address and prevent these complications in many patients. OBJECTIVE: To evaluate preoperative risk factors for early complications after arthroplasty in elderly patients with a femoral neck fracture. METHODS: 119\u00a0elderly patients with femoral neck fractures who had been treated with arthroplasty (hemiarthroplasty or total hip arthroplasty) between December 2015 and December 2018 were retrospectively analysed. Early complications were defined as any complications that did not exist preoperatively, and occurred during hospital stay after arthroplasty Preoperative clinical, epidemiological and laboratory data were collected. Binary univariable and multivariable logistic regression analysis were applied to identify predictors of early complications after arthroplasty for geriatric femoral neck fractures. RESULTS: Median age of all patients was 80.0 (IQR 74.0\u201384.0) years. We identified 28 (23.5%) early complications after arthroplasty. Univariable logistic regression analysis found that preoperative body mass index (BMI p= 0.031), C-reactive protein (CRP p= 0.017) and serum Albumin (p= 0.006) were potential risk factors for early complications. Then preoperative BMI, CRP and serum Albumin were stratified and used for multivariable logistic regression analysis The multivariate logistic regression analysis showed that preoperative higher BMI (\u2a7e 28\u00a0kg\/m2; OR 10.440; 95% CI 2.674\u201341.170; p= 0.001) and lower serum Albumin (\u2a7d 35\u00a0g\/L; OR 3.933; 95% CI 1.509\u201310.800; p= 0.006) were independent risk factors for early complications after arthroplasty in geriatric femoral neck fractures. However, preoperative higher CRP levels (&gt; 10\u00a0mg\/L; OR 1.139; 95% CI 1034\u20131428; p= 0.833) was found to be not an independent risk factor for early complications. CONCLUSION: Our results demonstrate that obesity and hypoalbuminemia are independent predictors for early complications during hospital stay after arthroplasty, which should be meticulously noted to minimize these risk factors in geriatric femoral neck fractures.<\/jats:p>","DOI":"10.3233\/bmr-220044","type":"journal-article","created":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T11:27:08Z","timestamp":1666092428000},"page":"309-315","source":"Crossref","is-referenced-by-count":4,"title":["Risk factors for early complications following arthroplasty in elderly patients with a femoral neck fracture"],"prefix":"10.1177","volume":"36","author":[{"given":"Junfeng","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changsheng","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"issue":"20","key":"10.3233\/BMR-220044_ref1","doi-asserted-by":"crossref","first-page":"1831","DOI":"10.1001\/archinternmed.2011.447","article-title":"Hip fracture and increased short-term but not long-term mortality in healthy older women","volume":"171","author":"LeBlanc","year":"2011","journal-title":"Arch Intern Med."},{"issue":"1","key":"10.3233\/BMR-220044_ref2","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/1754-9493-4-16","article-title":"Treatment of femoral neck fractures in elderly patients over 60\u00a0years of age \u2013 which is the ideal modality of primary joint replacement","volume":"4","author":"Ossendorf","year":"2010","journal-title":"Patient Saf Surg."},{"issue":"23","key":"10.3233\/BMR-220044_ref3","doi-asserted-by":"crossref","first-page":"2199","DOI":"10.1056\/NEJMoa1906190","article-title":"Total hip arthroplasty or hemiarthroplasty for hip fracture","volume":"381","author":"HEALTH","year":"2019","journal-title":"N Engl J Med."},{"issue":"3","key":"10.3233\/BMR-220044_ref4","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1302\/0301-620X.98B3.36515","article-title":"Hip arthroplasty for the treatment of displaced fractures of the femoral neck in elderly patients","volume":"98-B","author":"Rogmark","year":"2016","journal-title":"Bone Joint J."},{"issue":"2","key":"10.3233\/BMR-220044_ref5","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1007\/s00068-018-0909-8","article-title":"Risk factors for early infection following hemiarthroplasty in elderly patients with a femoral neck fracture","volume":"45","author":"Zajonz","year":"2019","journal-title":"Eur J Trauma Emerg Surg."},{"issue":"12","key":"10.3233\/BMR-220044_ref6","doi-asserted-by":"crossref","first-page":"2290","DOI":"10.1016\/j.arth.2015.06.003","article-title":"Hypoalbuminemia more than morbid obesity is an independent predictor of complications after total hip arthroplasty","volume":"30","author":"Walls","year":"2015","journal-title":"J Arthroplasty."},{"issue":"11","key":"10.3233\/BMR-220044_ref7","doi-asserted-by":"crossref","first-page":"2415","DOI":"10.1016\/j.arth.2016.04.032","article-title":"Malnutrition increases with obesity and is a stronger independent risk factor for postoperative complications: A propensity-adjusted analysis of total hip arthroplasty patients","volume":"31","author":"Fu","year":"2016","journal-title":"J Arthroplasty."},{"issue":"11","key":"10.3233\/BMR-220044_ref8","doi-asserted-by":"crossref","first-page":"2601","DOI":"10.1016\/j.arth.2019.06.042","article-title":"Preoperative C-reactive protein\/albumin ratio, a risk factor for postoperative delirium in elderly patients after total joint arthroplasty","volume":"34","author":"Peng","year":"2019","journal-title":"J Arthroplasty."},{"issue":"6","key":"10.3233\/BMR-220044_ref9","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1080\/17453674.2016.1234869","article-title":"Early mortality and morbidity after total hip arthroplasty in patients with femoral neck fracture","volume":"87","author":"Hailer","year":"2016","journal-title":"Acta Orthop."},{"key":"10.3233\/BMR-220044_ref10","unstructured":"Hocevar LA, Fitzgerald BM. American Society of Anesthesiologists Staging. 2022 May 8. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan."},{"issue":"1","key":"10.3233\/BMR-220044_ref11","first-page":"5","article-title":"Cooperative meta-analysis group of China obesity task force. Predictive values of body mass index and waist circumference to risk factors of related diseases in Chinese adult population","volume":"23","author":"Zhou","year":"2002","journal-title":"Chinese J Epidemiol."},{"issue":"1","key":"10.3233\/BMR-220044_ref12","first-page":"83","article-title":"Cooperative Meta-Analysis Group of the Working Group on Obesity in China. Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults \u2013 study on optimal cut-off points of body mass index and waist circumference in Chinese adults","volume":"15","author":"Zhou","year":"2002","journal-title":"Biomed Environ Sci."},{"issue":"6","key":"10.3233\/BMR-220044_ref13","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1017\/cem.2020.402","article-title":"Sensitivity of C-reactive protein cut-off values for pyogenic spinal infection in the emergency department","volume":"22","author":"Davis","year":"2020","journal-title":"CJEM."},{"key":"10.3233\/BMR-220044_ref14","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.cca.2013.01.005","article-title":"Serum albumin: Accuracy and clinical use","volume":"419","author":"Infusino","year":"2013","journal-title":"Clin Chim Acta."},{"issue":"12","key":"10.3233\/BMR-220044_ref15","doi-asserted-by":"crossref","first-page":"1726","DOI":"10.1007\/s00198-006-0172-4","article-title":"An estimate of the worldwide prevalence and disability associated with osteoporotic fractures","volume":"17","author":"Johnell","year":"2006","journal-title":"Osteoporos Int."},{"issue":"1","key":"10.3233\/BMR-220044_ref16","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1186\/s12891-019-2590-4","article-title":"Total hip arthroplasty versus hemiarthroplasty for independently mobile older adults with intracapsular hip fractures","volume":"20","author":"Metcalfe","year":"2019","journal-title":"BMC Musculoskelet Disord."},{"issue":"1","key":"10.3233\/BMR-220044_ref17","doi-asserted-by":"crossref","first-page":"51","DOI":"10.3949\/ccjm.81a.12165","article-title":"Obesity in the elderly: More complicated than you think","volume":"81","author":"Cetin","year":"2014","journal-title":"Cleve Clin J Med."},{"issue":"4","key":"10.3233\/BMR-220044_ref18","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1007\/s00198-020-05665-w","article-title":"Obesity is associated with early hip fracture risk in postmenopausal women: A 25-year follow-up","volume":"32","author":"Rikkonen","year":"2021","journal-title":"Osteoporos Int."},{"issue":"7","key":"10.3233\/BMR-220044_ref19","doi-asserted-by":"crossref","first-page":"1798","DOI":"10.1007\/s11999-016-5222-4","article-title":"Obesity epidemic: Is its impact on total joint arthroplasty underestimated? an analysis of national trends","volume":"475","author":"George","year":"2017","journal-title":"Clin Orthop Relat Res."},{"issue":"2","key":"10.3233\/BMR-220044_ref20","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1177\/0036850419854290","article-title":"Malnutrition in the elderly","volume":"102","author":"Corcoran","year":"2019","journal-title":"Sci Prog."},{"issue":"4","key":"10.3233\/BMR-220044_ref21","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.maturitas.2013.07.013","article-title":"Malnutrition in the elderly: A narrative review","volume":"76","author":"Agarwal","year":"2013","journal-title":"Maturitas."},{"issue":"5","key":"10.3233\/BMR-220044_ref22","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1093\/ageing\/afx094","article-title":"Is sarcopenia associated with depression? A systematic review and meta-analysis of observational studies","volume":"46","author":"Chang","year":"2017","journal-title":"Age Ageing."},{"issue":"4","key":"10.3233\/BMR-220044_ref23","doi-asserted-by":"crossref","first-page":"1174","DOI":"10.1016\/j.clnu.2019.04.034","article-title":"Nutritional condition analysis of the older adult patients with femoral neck fracture","volume":"39","author":"Chen","year":"2020","journal-title":"Clin Nutr."},{"issue":"1","key":"10.3233\/BMR-220044_ref24","first-page":"39","article-title":"Malnourishment in the overweight and obese elderly","volume":"36","author":"\u00d6zkaya","year":"2019","journal-title":"Nutr Hosp."},{"issue":"4","key":"10.3233\/BMR-220044_ref25","doi-asserted-by":"crossref","first-page":"1905","DOI":"10.1016\/j.clnu.2020.09.003","article-title":"Diagnosis of overweight or obese malnutrition spells DOOM for hip fracture patients: A prospective audit","volume":"40","author":"Bell","year":"2021","journal-title":"Clin 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Rehabilitation"],"original-title":[],"link":[{"URL":"https:\/\/content.iospress.com\/download?id=10.3233\/BMR-220044","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:27:16Z","timestamp":1777382836000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.3233\/BMR-220044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,15]]},"references-count":35,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3233\/bmr-220044","relation":{},"ISSN":["1878-6324","1053-8127"],"issn-type":[{"value":"1878-6324","type":"electronic"},{"value":"1053-8127","type":"print"}],"subject":[],"published":{"date-parts":[[2023,3,15]]}}}