The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture

sulejmani, ilhan; Saglam, Yavuz; Altun, Demet; Buget, Mehmet I.; Durmaz, Hayati; Canbolat, Nur; Büyük, Dilan

doi:10.4274/tybd.galenos.2022.62634

The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture

Nur CANBOLAT, (İstanbul Üniversitesi-İstanbul Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, İstanbul, Türkiye)

Dilan BÜYÜK, (İstanbul Üniversitesi-İstanbul Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, İstanbul, Türkiye)

İlhan SULEJMANİ, (İstanbul Üniversitesi-İstanbul Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, İstanbul, Türkiye)

Yavuz SAĞLAM, (İstanbul Üniversitesi-İstanbul Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, İstanbul, Türkiye)

Demet ALTUN, (İstanbul Üniversitesi-İstanbul Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, İstanbul, Türkiye)

Hayati DURMAZ, (İstanbul Üniversitesi-İstanbul Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Mehmet BUGET (İstanbul Üniversitesi-İstanbul Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, İstanbul, Türkiye)

Türk Yoğun Bakım Dergisi

5 0

Yıl: 2022 Cilt: 20 Sayı: Ek 1 Sayfa Aralığı: 7 - 13 Metin Dili: İngilizce DOI: 10.4274/tybd.galenos.2022.62634 İndeks Tarihi: 11-10-2022

The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture

Öz:

Objective: Hip fractures are an important health problem in geriatric patients. Preoperative estimation of mortality risk can be done by assessing malnutrition, establishing a perioperative treatment plan, determining the prognosis, and reducing morbidity and mortality. The prognostic nutritional index (PNI) is a simple, cost-effective, and easily applicable indicator of nutritional status in patients. This study aimed to determine the relationship between preoperative PNI and postoperative mortality in patients with hip fracture. Materials and Methods: This prospective observational study included 183 patients aged 65-95 years who had I-IV American Society of Anesthesiologists physical status and were operated within the first 48 h after hip fracture. Patients were divided into two groups according to the 37.25 cutoff value of PNI. In total, 172 patients completed the study, of which 53 were in the low PNI group and 119 in the high PNI group. Results: The length of hospital stay, postoperative delirium, and 3-month mortality were significantly higher in the low PNI group than in the high PNI group (p=0.035, p=0.001, p=0.0001, respectively). Conclusion: Using PNI for diagnosing malnutrition in patients with hip fractures can help create an optimized treatment plan and reduce mortality. PNI is an easily calculated, objective, and inexpensive biomarker that can be used in routine screening.

Anahtar Kelime:

İleri Yaş Kalça Kırığı Hastalarında Preoperatif Prognostik Beslenme İndeksinin Postoperatif Mortaliteyle İlişkisi

Öz:

Amaç: Kalça kırıkları geriatrik hasta grubunda önemli bir sağlık sorunudur. Malnütrisyonun saptanması, perioperatif tedavi planının oluşturulması, prognozun belirlenmesi ve böylece morbidite ve mortalitenin azaltılması açısından önemlidir. Prognostik beslenme indeksi (Prognostic nutritional index, PNI), hastaların beslenme durumunun bir göstergesi olan basit, uygun maliyetli ve kolay uygulanabilir bir parametredir. Bu çalışmanın amacı, postoperatif kalça kırığı hastalarında preoperatif PNI ile mortalite arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Bu prospektif gözlemsel çalışmaya, kalça kırığı sonrası ilk 48 saat içinde ameliyat edilen, Amerikan Anesteziyoloji Derneği skoru I-IV arası olan, 65-95 yaş arası 183 hasta dahil edildi. Hastalar PNI’nın 37,25 eşik değerine göre 2 gruba ayrıldı. Toplamda 172 hasta çalışmayı tamamladı: 53’ü grup düşük PNI’da ve 119’u grup yüksek PNI’da sınıflandı. Bulgular: Hastanede kalış süresi grup düşük PNI’da anlamlı olarak daha yüksekti (p=0,035). Postoperatif deliryum grup düşük PNI’da anlamlı olarak daha yüksek bulundu (p=0,001). Üç aylık mortalite grup düşük PNI’da anlamlı olarak daha yüksekti (p=0,0001). Sonuç: Rutin taramalarda kullanılabilecek kolay hesaplanabilen, objektif ve ucuz bir biyobelirteç olan PNI ile kalça kırıklarında malnütrisyon tanısı konarak optimize bir tedavi planı oluşturmak ve mortaliteyi azaltmak mümkün olabilir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Canbolat N, Büyük D, sulejmani i, Saglam Y, Altun D, Durmaz H, Buget M (2022). The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture. , 7 - 13. 10.4274/tybd.galenos.2022.62634
Chicago	Canbolat Nur,Büyük Dilan,sulejmani ilhan,Saglam Yavuz,Altun Demet,Durmaz Hayati,Buget Mehmet I. The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture. (2022): 7 - 13. 10.4274/tybd.galenos.2022.62634
MLA	Canbolat Nur,Büyük Dilan,sulejmani ilhan,Saglam Yavuz,Altun Demet,Durmaz Hayati,Buget Mehmet I. The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture. , 2022, ss.7 - 13. 10.4274/tybd.galenos.2022.62634
AMA	Canbolat N,Büyük D,sulejmani i,Saglam Y,Altun D,Durmaz H,Buget M The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture. . 2022; 7 - 13. 10.4274/tybd.galenos.2022.62634
Vancouver	Canbolat N,Büyük D,sulejmani i,Saglam Y,Altun D,Durmaz H,Buget M The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture. . 2022; 7 - 13. 10.4274/tybd.galenos.2022.62634
IEEE	Canbolat N,Büyük D,sulejmani i,Saglam Y,Altun D,Durmaz H,Buget M "The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture." , ss.7 - 13, 2022. 10.4274/tybd.galenos.2022.62634
ISNAD	Canbolat, Nur vd. "The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture". (2022), 7-13. https://doi.org/10.4274/tybd.galenos.2022.62634

APA	Canbolat N, Büyük D, sulejmani i, Saglam Y, Altun D, Durmaz H, Buget M (2022). The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture. Türk Yoğun Bakım Dergisi, 20(Ek 1), 7 - 13. 10.4274/tybd.galenos.2022.62634
Chicago	Canbolat Nur,Büyük Dilan,sulejmani ilhan,Saglam Yavuz,Altun Demet,Durmaz Hayati,Buget Mehmet I. The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture. Türk Yoğun Bakım Dergisi 20, no.Ek 1 (2022): 7 - 13. 10.4274/tybd.galenos.2022.62634
MLA	Canbolat Nur,Büyük Dilan,sulejmani ilhan,Saglam Yavuz,Altun Demet,Durmaz Hayati,Buget Mehmet I. The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture. Türk Yoğun Bakım Dergisi, vol.20, no.Ek 1, 2022, ss.7 - 13. 10.4274/tybd.galenos.2022.62634
AMA	Canbolat N,Büyük D,sulejmani i,Saglam Y,Altun D,Durmaz H,Buget M The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture. Türk Yoğun Bakım Dergisi. 2022; 20(Ek 1): 7 - 13. 10.4274/tybd.galenos.2022.62634
Vancouver	Canbolat N,Büyük D,sulejmani i,Saglam Y,Altun D,Durmaz H,Buget M The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture. Türk Yoğun Bakım Dergisi. 2022; 20(Ek 1): 7 - 13. 10.4274/tybd.galenos.2022.62634
IEEE	Canbolat N,Büyük D,sulejmani i,Saglam Y,Altun D,Durmaz H,Buget M "The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture." Türk Yoğun Bakım Dergisi, 20, ss.7 - 13, 2022. 10.4274/tybd.galenos.2022.62634
ISNAD	Canbolat, Nur vd. "The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture". Türk Yoğun Bakım Dergisi 20/Ek 1 (2022), 7-13. https://doi.org/10.4274/tybd.galenos.2022.62634