Prognostic Role of Current Nutritional Indicators on Early and Late Postoperative Survival After Geriatric Hip Fracture Surgery
Aim:Malnutrition is reported to be related to higher mortality rates following geriatric hip fracture, and new malnutrition indicators are currently being identified. The aim of this study is to analyze prognostic nutritional index (PNI), C-reactive protein (CRP)/albumin ratio (CAR) and CRPI/PNI rat...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2022-03-01
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| Series: | Haseki Tıp Bülteni |
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http://www.hasekidergisi.com/archives/archive-detail/article-preview/prognostic-role-of-current-nutritional-ndicators-o/51418
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| _version_ | 1797907782723174400 |
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| author | Mehmet Ekinci Serkan Bayram Erol Gunen Kemal Arda Col Serkan Onder Sirma Mehmet Ersin Murat Yilmaz |
| author_facet | Mehmet Ekinci Serkan Bayram Erol Gunen Kemal Arda Col Serkan Onder Sirma Mehmet Ersin Murat Yilmaz |
| author_sort | Mehmet Ekinci |
| collection | DOAJ |
| description | Aim:Malnutrition is reported to be related to higher mortality rates following geriatric hip fracture, and new malnutrition indicators are currently being identified. The aim of this study is to analyze prognostic nutritional index (PNI), C-reactive protein (CRP)/albumin ratio (CAR) and CRPI/PNI ratio (CPR) as prognostic factors for first-month, six-month, one-year and overall mortality following hip fracture surgery.Methods:This study was designed as a cross-sectional study. We reviewed the medical records of patients older than 75 years with osteoporotic hip fracture surgery between January 2012 and October 2019. Preoperative serum albumin, total lymphocyte count, and CRP levels were evaluated as laboratory values. PNI, CAR, and CPR were calculated and analyzed as prognostic factors for mortality.Results:Four hundred and thirty patients were included in the study. High American Society of Anesthesiology (ASA) score (p=0.01) and admission to the intensive care unit (ICU) (p=0.016) were found to be independently associated with worse survival in the first month. The admission to the ICU (p=0.004) was independently related to poor survival in the first six months. High ASA score (p=0.018) and admission to the ICU (p=0.016) were independently associated with a poor survival in the first year. High ASA score (p<0.001) and admission to the ICU (p<0.001) were found to be independent prognostic factors for poor overall survival.Conclusion:PNI, CAR, and CPR were not significantly related to poor survival in the first month, six months, one year, and overall follow-up period after geriatric hip fracture surgery. |
| first_indexed | 2024-04-10T10:42:16Z |
| format | Article |
| id | doaj.art-7204574682634838b194c668e23de953 |
| institution | Directory Open Access Journal |
| issn | 1302-0072 2147-2688 |
| language | English |
| last_indexed | 2024-04-10T10:42:16Z |
| publishDate | 2022-03-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Haseki Tıp Bülteni |
| spelling | doaj.art-7204574682634838b194c668e23de9532023-02-15T16:20:30ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882022-03-0160217518210.4274/haseki.galenos.2022.776613049054Prognostic Role of Current Nutritional Indicators on Early and Late Postoperative Survival After Geriatric Hip Fracture SurgeryMehmet Ekinci0Serkan Bayram1Erol Gunen2Kemal Arda Col3Serkan Onder Sirma4Mehmet Ersin5Murat Yilmaz6 University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Clinic of Orthopaedics and Traumatology, Istanbul, Turkey Istanbul University, Istanbul Faculty of Medicine, Department of Orthopaedics and Traumatology, Istanbul, Turkey University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Clinic of Orthopaedics and Traumatology, Istanbul, Turkey University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Clinic of Orthopaedics and Traumatology, Istanbul, Turkey University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Clinic of Orthopaedics and Traumatology, Istanbul, Turkey University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Clinic of Orthopaedics and Traumatology, Istanbul, Turkey University of Health Sciences Turkey, Istanbul Haseki Training and Research Hospital, Clinic of Orthopaedics and Traumatology, Istanbul, Turkey Aim:Malnutrition is reported to be related to higher mortality rates following geriatric hip fracture, and new malnutrition indicators are currently being identified. The aim of this study is to analyze prognostic nutritional index (PNI), C-reactive protein (CRP)/albumin ratio (CAR) and CRPI/PNI ratio (CPR) as prognostic factors for first-month, six-month, one-year and overall mortality following hip fracture surgery.Methods:This study was designed as a cross-sectional study. We reviewed the medical records of patients older than 75 years with osteoporotic hip fracture surgery between January 2012 and October 2019. Preoperative serum albumin, total lymphocyte count, and CRP levels were evaluated as laboratory values. PNI, CAR, and CPR were calculated and analyzed as prognostic factors for mortality.Results:Four hundred and thirty patients were included in the study. High American Society of Anesthesiology (ASA) score (p=0.01) and admission to the intensive care unit (ICU) (p=0.016) were found to be independently associated with worse survival in the first month. The admission to the ICU (p=0.004) was independently related to poor survival in the first six months. High ASA score (p=0.018) and admission to the ICU (p=0.016) were independently associated with a poor survival in the first year. High ASA score (p<0.001) and admission to the ICU (p<0.001) were found to be independent prognostic factors for poor overall survival.Conclusion:PNI, CAR, and CPR were not significantly related to poor survival in the first month, six months, one year, and overall follow-up period after geriatric hip fracture surgery. http://www.hasekidergisi.com/archives/archive-detail/article-preview/prognostic-role-of-current-nutritional-ndicators-o/51418 prognostic nutritional indexc-reactive protein/prognostic nutritional indexcrp to albumin ratiomortalityhip fractureelderly population |
| spellingShingle | Mehmet Ekinci Serkan Bayram Erol Gunen Kemal Arda Col Serkan Onder Sirma Mehmet Ersin Murat Yilmaz Prognostic Role of Current Nutritional Indicators on Early and Late Postoperative Survival After Geriatric Hip Fracture Surgery Haseki Tıp Bülteni prognostic nutritional index c-reactive protein/prognostic nutritional index crp to albumin ratio mortality hip fracture elderly population |
| title | Prognostic Role of Current Nutritional Indicators on Early and Late Postoperative Survival After Geriatric Hip Fracture Surgery |
| title_full | Prognostic Role of Current Nutritional Indicators on Early and Late Postoperative Survival After Geriatric Hip Fracture Surgery |
| title_fullStr | Prognostic Role of Current Nutritional Indicators on Early and Late Postoperative Survival After Geriatric Hip Fracture Surgery |
| title_full_unstemmed | Prognostic Role of Current Nutritional Indicators on Early and Late Postoperative Survival After Geriatric Hip Fracture Surgery |
| title_short | Prognostic Role of Current Nutritional Indicators on Early and Late Postoperative Survival After Geriatric Hip Fracture Surgery |
| title_sort | prognostic role of current nutritional indicators on early and late postoperative survival after geriatric hip fracture surgery |
| topic | prognostic nutritional index c-reactive protein/prognostic nutritional index crp to albumin ratio mortality hip fracture elderly population |
| url |
http://www.hasekidergisi.com/archives/archive-detail/article-preview/prognostic-role-of-current-nutritional-ndicators-o/51418
|
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