A prospective assessment of nutritional status and complications in patients with fractures of the hip

Journal of Orthopaedic Trauma
M R FosterW J Hozack

Abstract

A group of 40 consecutive patients with hip fractures were studied and confirmed to have a high incidence of protein-calorie malnutrition. The prospective nutritional assessment performed for this study included: serum albumin, serum transferrin, anthropometric measurements, skin testing for delayed hypersensitivity, total lymphocyte count, and a 24-h urine collection for metabolic and nitrogen balance determinations. At 3 months after their hip fracture, 37.5% returned to their premorbid ambulatory status; 42.5% sustained a decrement in their ambulatory status or independence; 12.5% died; 7.5% were lost to follow-up. Of the nutritional parameters studied, albumin was significantly associated with mortality (p = 0.004). Considering those patients with an albumin less than 3.0, a mortality rate of 70% was observed in follow-up (maximum of 11 months), compared with a mortality rate of 18% in patients with an albumin greater than or equal to 3.0. It is concluded that the serum albumin has value as a nutritional index without specialized nutritional parameters, and that a more aggressive approach to nutritional support is needed for the hypoalbuminemic patient with a hip fracture, particularly for those with a serum albumin below 3.0.

Citations

Nov 20, 2003·Growth Hormone & IGF Research : Official Journal of the Growth Hormone Research Society and the International IGF Research Society·A-L YeoA Young
Jun 1, 1996·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·M LumbersC M Williams
May 29, 2012·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·C E WyersP C Dagnelie
Apr 30, 2008·The Journal of Nutrition, Health & Aging·Y RollandB Vellas
May 21, 2005·International Orthopaedics·A J DwyerM Joshi
Aug 6, 2010·Archives of Gerontology and Geriatrics·Bryan J PimlottSumit R Majumdar
Aug 14, 2009·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Brendan J O'DalyS Kieran O'Rourke
Apr 30, 2002·Spine·Stephen P BancoSheila Murphey
Feb 3, 2009·The Journal of Surgical Research·Jiong Jiong GuoTiansi Tang
Nov 14, 2015·Journal of Orthopaedics·Leonard Charles MaraisTheo Le Roux
Sep 14, 2000·Clinics in Geriatric Medicine·J E Morley
Jul 22, 2015·Journal of Orthopaedic Trauma·James H LeeKenneth A Egol
Jun 5, 2015·Current Nutrition Reports·Kathryn N Porter StarrConnie W Bales
Aug 31, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Vishwajeet KumarTim Clough
Mar 1, 1996·Journal of Surgical Oncology·M J Chmell, H S Schwartz
Oct 7, 2005·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Michelle D MillerMaria Crotty
Jun 14, 2006·Clinical Orthopaedics and Related Research·Magnus EnerothKarl-Göran Thorngren
Nov 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Michael S HughesJames L Cook
Apr 17, 1999·Journal of Orthopaedic Trauma·K J KovalJ D Zuckerman
Mar 3, 2020·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Jensa C MorrisMary I O'Connor
Apr 29, 1998·Journal of the American College of Nutrition·D H SullivanR C Walls
Sep 12, 2018·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Caroline E WyersPieter C Dagnelie
Jan 8, 2005·Journal of the American College of Nutrition·Dennis H SullivanMelinda M Bopp
Nov 30, 2016·The Cochrane Database of Systematic Reviews·Alison AvenellPhyo K Myint

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