The relationship between nutritional status of hip fracture operated elderly patients and their functioning, comorbidity and outcome

Tamar Koren-Hakim, Avraham Weiss, Avital Hershkovitz, Irena Otzrateni, Boris Grosman, Sigal Frishman, Moshe Salai, Yichayaou Beloosesky

Research output: Contribution to journalArticlepeer-review

Abstract

Background & aims: Malnutrition is common in hip fracture elderly patients. The purpose of this study was to examine the relationship between the Mini Nutrition Assessment Short Form (MNA-SF) and cognitive, functional status, comorbidity and outcome of operated patients. Methods: Clinical data, MNA, functioning, cognition were prospectively determined. Retrospectively, the Charlson Comorbidity Index (CCI) and Cumulative Illness Rating Scale for Geriatrics (CIRS-G) were applied. Results: The study consisted of 95 well-nourished (WN), 95 at risk of malnutrition (ARM) and 25 malnourished (MN) patients. More WN patients were independent vs. partially or fully dependent; more WN patients were cognitively normal vs. cognitively impaired (p < 0.001). CIRS-G was higher in MN vs. WN patients and CCI was higher in MN and ARM vs. WN patients (p < 0.001). During a 6 month period, 100 patients were readmitted, with less readmissions in the WN group (p = 0.024). During a 36 month follow-up, 79 patients died. The mortality rate was lower in the WN group (p = 0.01). Stepwise regression analysis found that the only independent variables for mortality were CCI and functioning (p < 0.01). Conclusions: Patients with higher cognitive and functional status were in superior nutritional condition. Poor nutritional status was associated with higher comorbidity indices, mortality and readmissions. However, we found that only comorbidity and low functioning can predict long-term mortality.

Original languageEnglish
Pages (from-to)917-921
Number of pages5
JournalClinical Nutrition
Volume31
Issue number6
DOIs
StatePublished - Dec 2012

Keywords

  • Cognition
  • Elderly
  • Functioning
  • Hip-fracture
  • MNA

Fingerprint

Dive into the research topics of 'The relationship between nutritional status of hip fracture operated elderly patients and their functioning, comorbidity and outcome'. Together they form a unique fingerprint.

Cite this