Influence of Malnutrition on Outcome after Hip Fractures in Older Patients
Background: Malnutrition might lead to a worse outcome in hip fractures of older patients. The purpose of this study is to analyze different indicators of malnutrition that lead to worse outcomes. Methods: 252 patients of a geriatric trauma unit were analyzed prospectively. Different demographic, as...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/13/1/109 |
| _version_ | 1797440081980555264 |
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| author | Michael Millrose Wolfgang Schmidt Julian Krickl Till Ittermann Johannes Ruether Hermann-Josef Bail Markus Gesslein |
| author_facet | Michael Millrose Wolfgang Schmidt Julian Krickl Till Ittermann Johannes Ruether Hermann-Josef Bail Markus Gesslein |
| author_sort | Michael Millrose |
| collection | DOAJ |
| description | Background: Malnutrition might lead to a worse outcome in hip fractures of older patients. The purpose of this study is to analyze different indicators of malnutrition that lead to worse outcomes. Methods: 252 patients of a geriatric trauma unit were analyzed prospectively. Different demographic, as well as data on the trauma and whether osteoporosis prophylaxis or anticoagulation was present, were recorded. The nutritional status with respect to laboratory parameters as well as nutritional risk score was also analyzed. Results: The main finding of this study is that a poor nutritional status is statistically significantly associated with higher mortality as well as worse independence (<i>p</i> < 0.05). A postoperatively prescribed osteoporosis prophylaxis is protective of mortality and independence (<i>p</i> < 0.05). Conclusions: Malnutrition of geriatric patients increases the risk for death, worse mobility, and independence after hip fractures. Osteoporosis prophylaxis prescribed during an inpatient stay enables patients to retain their independence. The nutritional status of geriatric patients with hip fractures should be obtained and provisions made. |
| first_indexed | 2024-03-09T12:02:59Z |
| format | Article |
| id | doaj.art-b4e1061345034500a9ca283926d5d19b |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T12:02:59Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-b4e1061345034500a9ca283926d5d19b2023-11-30T23:02:15ZengMDPI AGJournal of Personalized Medicine2075-44262023-01-0113110910.3390/jpm13010109Influence of Malnutrition on Outcome after Hip Fractures in Older PatientsMichael Millrose0Wolfgang Schmidt1Julian Krickl2Till Ittermann3Johannes Ruether4Hermann-Josef Bail5Markus Gesslein6Department of Trauma Surgery and Sports Medicine, Garmisch-Partenkirchen Medical Centre, 82467 Garmisch-Partenkirchen, GermanyDepartment of Trauma Surgery and Sports Medicine, Garmisch-Partenkirchen Medical Centre, 82467 Garmisch-Partenkirchen, GermanyDepartment of Trauma Surgery and Sports Medicine, Garmisch-Partenkirchen Medical Centre, 82467 Garmisch-Partenkirchen, GermanyInstitute for Community Medicine, SHIP/Clinical-Epidemiological Research, University of Greifswald, 17489 Greifswald, GermanyDepartment of Orthopedics and Traumatology, Paracelsus Medical University, 90471 Nuremberg, GermanyDepartment of Orthopedics and Traumatology, Paracelsus Medical University, 90471 Nuremberg, GermanyDepartment of Orthopedics and Traumatology, Paracelsus Medical University, 90471 Nuremberg, GermanyBackground: Malnutrition might lead to a worse outcome in hip fractures of older patients. The purpose of this study is to analyze different indicators of malnutrition that lead to worse outcomes. Methods: 252 patients of a geriatric trauma unit were analyzed prospectively. Different demographic, as well as data on the trauma and whether osteoporosis prophylaxis or anticoagulation was present, were recorded. The nutritional status with respect to laboratory parameters as well as nutritional risk score was also analyzed. Results: The main finding of this study is that a poor nutritional status is statistically significantly associated with higher mortality as well as worse independence (<i>p</i> < 0.05). A postoperatively prescribed osteoporosis prophylaxis is protective of mortality and independence (<i>p</i> < 0.05). Conclusions: Malnutrition of geriatric patients increases the risk for death, worse mobility, and independence after hip fractures. Osteoporosis prophylaxis prescribed during an inpatient stay enables patients to retain their independence. The nutritional status of geriatric patients with hip fractures should be obtained and provisions made.https://www.mdpi.com/2075-4426/13/1/109malnutritionhip fracturesgeriatric traumasarcopenia |
| spellingShingle | Michael Millrose Wolfgang Schmidt Julian Krickl Till Ittermann Johannes Ruether Hermann-Josef Bail Markus Gesslein Influence of Malnutrition on Outcome after Hip Fractures in Older Patients Journal of Personalized Medicine malnutrition hip fractures geriatric trauma sarcopenia |
| title | Influence of Malnutrition on Outcome after Hip Fractures in Older Patients |
| title_full | Influence of Malnutrition on Outcome after Hip Fractures in Older Patients |
| title_fullStr | Influence of Malnutrition on Outcome after Hip Fractures in Older Patients |
| title_full_unstemmed | Influence of Malnutrition on Outcome after Hip Fractures in Older Patients |
| title_short | Influence of Malnutrition on Outcome after Hip Fractures in Older Patients |
| title_sort | influence of malnutrition on outcome after hip fractures in older patients |
| topic | malnutrition hip fractures geriatric trauma sarcopenia |
| url | https://www.mdpi.com/2075-4426/13/1/109 |
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