Heli Helminen1, Tiina Luukkaala2, Juha Saarnio3, Maria Nuotio4. 1. Department of Surgical, Seinäjoki Central Hospital, Seinäjoki, Finland. Electronic address: heli.helminen@epshp.fi. 2. Science Center Pirkanmaa Hospital District, Tampere Finland and School of Health Sciences, University of Tampere, Finland. 3. Department of Surgical, Oulu University Hospital, Oulu, Finland. 4. Department of Geriatric Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland.
Abstract
INTRODUCTION: Malnutrition is common among older hip fracture patients and associated with adverse outcomes. We examined Mini Nutritional Assessment short (MNA-SF) and long form (MNA-LF) and serum albumin as prognostic indicators of mobility, living arrangements and mortality after hip fracture. METHODS: Population-based prospective data were collected on 594 hip fracture patients aged 65 and over. MNA-SF, MNA-LF and serum albumin were assessed on admission. Outcomes were poorer mobility; transfer to more assisted living accommodation and mortality one month, four months and one year post fracture. Logistic regression analyses for mobility and living arrangements with odds ratios (OR) and Cox proportional hazards model for mortality with hazard ratios (HR) and 95% confidence intervals (CI) were used, adjusted for age, gender, ASA grade and fracture type. RESULTS: All measures predicted mortality at all time-points. Risk of malnutrition and malnutrition measured by MNA-LF predicted mobility and living arrangements within four months of hip fracture. At one year, risk of malnutrition predicted mobility and malnutrition predicted living arrangements, when measured by MNA-LF. Malnutrition, but not risk thereof, measured by MNA-SF predicted living arrangements at all time-points. None of the measures predicted one-month mobility. CONCLUSIONS: All measures were strong indicators of short- and long-term mortality after hip fracture. MNA-LF was superior in predicting mobility and living arrangements, particularly at four months. All measures were relatively poor in predicting short-term outcomes of mobility and living arrangements.
INTRODUCTION:Malnutrition is common among older hip fracturepatients and associated with adverse outcomes. We examined Mini Nutritional Assessment short (MNA-SF) and long form (MNA-LF) and serum albumin as prognostic indicators of mobility, living arrangements and mortality after hip fracture. METHODS: Population-based prospective data were collected on 594 hip fracturepatients aged 65 and over. MNA-SF, MNA-LF and serum albumin were assessed on admission. Outcomes were poorer mobility; transfer to more assisted living accommodation and mortality one month, four months and one year post fracture. Logistic regression analyses for mobility and living arrangements with odds ratios (OR) and Cox proportional hazards model for mortality with hazard ratios (HR) and 95% confidence intervals (CI) were used, adjusted for age, gender, ASA grade and fracture type. RESULTS: All measures predicted mortality at all time-points. Risk of malnutrition and malnutrition measured by MNA-LF predicted mobility and living arrangements within four months of hip fracture. At one year, risk of malnutrition predicted mobility and malnutrition predicted living arrangements, when measured by MNA-LF. Malnutrition, but not risk thereof, measured by MNA-SF predicted living arrangements at all time-points. None of the measures predicted one-month mobility. CONCLUSIONS: All measures were strong indicators of short- and long-term mortality after hip fracture. MNA-LF was superior in predicting mobility and living arrangements, particularly at four months. All measures were relatively poor in predicting short-term outcomes of mobility and living arrangements.
Authors: Michael D Dubé; Christopher A Rothfusz; Ahmed K Emara; Matthew Hadad; Peter Surace; Viktor E Krebs; Robert M Molloy; Nicolas S Piuzzi Journal: Curr Rev Musculoskelet Med Date: 2022-05-03
Authors: Anaar Siletz; Christopher P Childers; Claire Faltermeier; Emily S Singer; Q Lina Hu; Clifford Y Ko; Stephen L Kates; Melinda Maggard-Gibbons; Elizabeth Wick Journal: Geriatr Orthop Surg Rehabil Date: 2018-05-20
Authors: Inge Groenendijk; Charlotte S Kramer; Laura M den Boeft; Hans S M Hobbelen; Gert-Jan van der Putten; Lisette C P G M de Groot Journal: Nutrients Date: 2020-08-20 Impact factor: 5.717