TY  - JOUR
TI  - Prognostic Role of Current Nutritional Indicators on
Early and Late Postoperative Survival After Geriatric
Hip Fracture Surgery
AB  - Aim: Malnutrition is reported to be related to higher mortality rates following geriatric hip fracture, and new malnutrition indicators are
currently being identified. The aim of this study is to analyze prognostic nutritional index (PNI), C-reactive protein (CRP)/albumin ratio
(CAR) and CRPI/PNI ratio (CPR) as prognostic factors for first-month, six-month, one-year and overall mortality following hip fracture
surgery.
Methods: This study was designed as a cross-sectional study. We reviewed the medical records of patients older than 75 years with
osteoporotic hip fracture surgery between January 2012 and October 2019. Preoperative serum albumin, total lymphocyte count, and
CRP levels were evaluated as laboratory values. PNI, CAR, and CPR were calculated and analyzed as prognostic factors for mortality.
Results: Four hundred and thirty patients were included in the study. High American Society of Anesthesiology (ASA) score (p=0.01)
and admission to the intensive care unit (ICU) (p=0.016) were found to be independently associated with worse survival in the
first month. The admission to the ICU (p=0.004) was independently related to poor survival in the first six months. High ASA score
(p=0.018) and admission to the ICU (p=0.016) were independently associated with a poor survival in the first year. High ASA score
(p<0.001) and admission to the ICU (p<0.001) were found to be independent prognostic factors for poor overall survival.
Conclusion: PNI, CAR, and CPR were not significantly related to poor survival in the first month, six months, one year, and overall
follow-up period after geriatric hip fracture surgery.
AU  - Bayram, Serkan
AU  - Ekinci, Mehmet
AU  - ersin, mehmet
AU  - yilmaz, murat
AU  - SİRMA, Serkan Onder
AU  - Günen, Erol
AU  - ÇÖL, Kemal Arda
DO  - 10.4274/haseki.galenos.2022.7766
PY  - 2022
JO  - Haseki Tıp Bülteni
VL  - 60
IS  - 2
SN  - 1302-0072
SP  - 175
EP  - 182
DB  - TRDizin
UR  - http://search/yayin/detay/522413
ER  -