Impact of Frailty and Malnutrition on Outcomes After Surgical Fixation of Lower Extremity Fractures in Young Patients
Autor: | Kevin X. Farley, Jacob M. Wilson, Huai Ming Phen, Andrew M. Schwartz, Victoria G. Kravets, Corey Jones, Mara L. Schenker |
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Rok vydání: | 2021 |
Předmět: |
Adult
medicine.medical_specialty Risk Assessment Fractures Bone 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors Internal medicine medicine Humans Orthopedics and Sports Medicine Retrospective Studies 030222 orthopedics Frailty business.industry Malnutrition Trauma center 030208 emergency & critical care medicine Retrospective cohort study General Medicine Odds ratio medicine.disease Lower Extremity Surgery Observational study Complication business Risk assessment Cohort study |
Zdroj: | Journal of Orthopaedic Trauma. 35:e126-e133 |
ISSN: | 0890-5339 |
Popis: | OBJECTIVES Evaluate the relationship of nutrition parameters and the modified frailty index (mFI) on postsurgical complications within a young patient population sustaining lower extremity orthopaedic trauma. DESIGN Retrospective observational cohort study. SETTING Urban, American College of Surgeons-Verified, Level-1, Trauma Center. PATIENTS/PARTICIPANTS Seventeen-thousand one hundred nine adult patients under the age of 65 sustaining lower extremity fractures undergoing operative intervention from 2006 to 2018. MAIN OUTCOME MEASURES On admission, mFI and albumin levels were obtained, as well as complication data. Statistical analysis was used to analyze the association between frailty, malnutrition, and postoperative complications. Patients were stratified, healthy (mFI ≤1, albumin ≥3.5 g/dL), malnourished (mFI ≤1, albumin |
Databáze: | OpenAIRE |
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