PREOPERATIVE NUTRITIONAL STATUS OF HIP FRACTURE PATIENTS: A PILOT STUDY IN 116 PATIENTS
| Autor: | Myung-Sang Moon, Min-Geun Yoon, Bong-Keun Park, Dong-Hyeon Kim, Min-Suk Park |
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| Rok vydání: | 2017 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty Hip fracture biology Globulin business.industry Incidence (epidemiology) Serum albumin medicine.disease Surgery 03 medical and health sciences Malnutrition 0302 clinical medicine Internal medicine medicine biology.protein Orthopedics and Sports Medicine 030212 general & internal medicine Hypoalbuminemia Lymphocytopenia business Body mass index |
| Zdroj: | Journal of Musculoskeletal Research. 20:1750002 |
| ISSN: | 1793-6497 0218-9577 |
| DOI: | 10.1142/s0218957717500026 |
| Popis: | Design: Preoperative hematological markers were used. Objectives: The aim was to assess the preoperative nutritional status of hip fracture patients. Background data: There were only a few studies, related to the preoperative nutritional and immune status of the fracture patients. None conducted solely the preoperative nutritional status of the hip fracture patients up to now in Korea. Material and Methods: One hundred and sixteen hip fracture patients, ranged from 4th decade up to over 10th decade, were subjected to this study on the basis of the listed survey chart, particularly the serum albumin level, albumin/globulin ratio, lymphocyte count, and lymphocyte–monocyte ratio. Results: Overall average three physical factors, such as height, weight, and body mass index, were 159[Formula: see text][Formula: see text][Formula: see text]2.6[Formula: see text]cm, 56[Formula: see text][Formula: see text][Formula: see text]11.1[Formula: see text]kg, and 22.2[Formula: see text][Formula: see text][Formula: see text]3.6[Formula: see text]kg/m2. Average hemoglobin, lymphocyte count, monocyte count, L/M ratio, serum albumin and globulin, and A/G ratio were 11.7[Formula: see text][Formula: see text][Formula: see text]2.0[Formula: see text]g/dL, 1490[Formula: see text][Formula: see text][Formula: see text]994[Formula: see text]mm3, 514[Formula: see text][Formula: see text][Formula: see text]250/mm3, 1 versus 2.8, 3.6[Formula: see text][Formula: see text][Formula: see text]0.49[Formula: see text]g/dL, 2.8[Formula: see text][Formula: see text][Formula: see text]0.45[Formula: see text]g/dL and 1.2, respectively. Twenty-seven patients (22.6%) had normal nutrition, whereas the incidence of single hypoalbuminemia and single lymphocytopenia was 18 (15.1%) and 43 (36.1%) patients. Patients’ numbers showing the combined hypoalbuminemia and lymphocytopenia were 31 (26.5%) out of 116 patients. Conclusion: About 77.3% of elderly hip fracture patients had preoperative malnutrition, although the cause of such high rate was not clarified yet. In those cases, pre- and postoperative nutritional management is essential to bring about the early physical recovery including wound healing and to reduce the infection risk. |
| Databáze: | OpenAIRE |
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