Influence of Malnutrition on Outcome After Hip Fractures in Older Patients

Overview

Journal J Pers Med

Date 2023 Jan 21

PMID 36675770

Authors

Michael Millrose

Wolfgang Schmidt

Julian Krickl

Till Ittermann

Johannes Ruether

Hermann-Josef Bail

Markus Gesslein

Affiliations

Soon will be listed here.

Abstract

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 (p < 0.05). A postoperatively prescribed osteoporosis prophylaxis is protective of mortality and independence (p < 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.

Citing Articles

Comprehensive Peri-Operative Risk Assessment and Management of Geriatric Patients.

Theodorakis N, Nikolaou M, Hitas C, Anagnostou D, Kreouzi M, Kalantzi S Diagnostics (Basel). 2024; 14(19).

PMID: 39410557 PMC: 11475767. DOI: 10.3390/diagnostics14192153.

Chiavarini M, Ricciotti G, Genga A, Faggi M, Rinaldi A, Toscano O Nutrients. 2024; 16(7).

PMID: 38613102 PMC: 11013126. DOI: 10.3390/nu16071069.

The Rising Problem of Hip Fractures in Geriatric Patients-Analysis of Surgical Influences on the Outcome.

Krickl J, Ittermann T, Thannheimer A, Schmidt W, Willauschus M, Ruether J J Pers Med. 2023; 13(8).

PMID: 37623521 PMC: 10455730. DOI: 10.3390/jpm13081271.

Global Subjective Assessment and Mini Nutritional Assessment Short Form Better Predict Mortality Than GLIM Malnutrition Criteria in Elderly Patients with Hip Fracture.

Sanchez-Torralvo F, Perez-Del-Rio V, Garcia-Olivares M, Porras N, Abuin-Fernandez J, Bravo-Bardaji M Nutrients. 2023; 15(8).

PMID: 37111046 PMC: 10140871. DOI: 10.3390/nu15081828.

References

Peeters C, Visser E, van de Ree C, Gosens T, Den Oudsten B, de Vries J . Quality of life after hip fracture in the elderly: A systematic literature review. Injury. 2016; 47(7):1369-82. DOI: 10.1016/j.injury.2016.04.018. View

Malafarina V, Reginster J, Cabrerizo S, Bruyere O, Kanis J, Martinez J . Nutritional Status and Nutritional Treatment Are Related to Outcomes and Mortality in Older Adults with Hip Fracture. Nutrients. 2018; 10(5). PMC: 5986435. DOI: 10.3390/nu10050555. View

Chen L, Hou P, Chen K . Nutritional Support and Physical Modalities for People with Osteoporosis: Current Opinion. Nutrients. 2019; 11(12). PMC: 6950804. DOI: 10.3390/nu11122848. View

Avenell A, Smith T, Curtain J, Mak J, Myint P . Nutritional supplementation for hip fracture aftercare in older people. Cochrane Database Syst Rev. 2016; 11:CD001880. PMC: 6464805. DOI: 10.1002/14651858.CD001880.pub6. View

Goisser S, Schrader E, Singler K, Bertsch T, Gefeller O, Biber R . Malnutrition According to Mini Nutritional Assessment Is Associated With Severe Functional Impairment in Geriatric Patients Before and up to 6 Months After Hip Fracture. J Am Med Dir Assoc. 2015; 16(8):661-7. DOI: 10.1016/j.jamda.2015.03.002. View

Scaturro D, Vitagliani F, Terrana P, Tomasello S, Camarda L, Letizia Mauro G . Does the association of therapeutic exercise and supplementation with sucrosomial magnesium improve posture and balance and prevent the risk of new falls?. Aging Clin Exp Res. 2021; 34(3):545-553. PMC: 8894156. DOI: 10.1007/s40520-021-01977-x. View

Gennari C . Calcium and vitamin D nutrition and bone disease of the elderly. Public Health Nutr. 2001; 4(2B):547-59. DOI: 10.1079/phn2001140. View

Soderstrom L, Rosenblad A, Adolfsson E, Saletti A, Bergkvist L . Nutritional status predicts preterm death in older people: a prospective cohort study. Clin Nutr. 2013; 33(2):354-9. DOI: 10.1016/j.clnu.2013.06.004. View

Foo M, Wong G, Lew C . A systematic review of the malnutrition prevalence in hospitalized hip fracture patients and its associated outcomes. JPEN J Parenter Enteral Nutr. 2021; 45(6):1141-1152. DOI: 10.1002/jpen.2211. View

10.

Cabrerizo S, Cuadras D, Gomez-Busto F, Artaza-Artabe I, Marin-Ciancas F, Malafarina V . Serum albumin and health in older people: Review and meta analysis. Maturitas. 2015; 81(1):17-27. DOI: 10.1016/j.maturitas.2015.02.009. View

11.

Veronese N, Maggi S . Epidemiology and social costs of hip fracture. Injury. 2018; 49(8):1458-1460. DOI: 10.1016/j.injury.2018.04.015. View

12.

Lew C, Wong G, Cheung K, Chua A, Chong M, Miller M . Association between Malnutrition and 28-Day Mortality and Intensive Care Length-of-Stay in the Critically ill: A Prospective Cohort Study. Nutrients. 2018; 10(1). PMC: 5793238. DOI: 10.3390/nu10010010. View

13.

Kondrup J, Rasmussen H, Hamberg O, Stanga Z . Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003; 22(3):321-36. DOI: 10.1016/s0261-5614(02)00214-5. View