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Frailty and malnutrition are associated with inpatient postoperative complications and mortality in hip fracture patients

Journal of Orthopaedic Trauma Feb 22, 2019

Wilson JM, et al. - In this retrospective observational cohort study at Urban, American College of Surgeons–Verified, Level-1, Trauma Center, authors estimated 377 cases to examine the association of nutrition parameters with the modified frailty index (mFI) and postoperative complexities in subjects with hip fracture. They noticed malnourishment in 62.6% and 17.5% of subjects as determined by total lymphocyte count (TLC) of <1500 cells per cubic millimeter and albumin of <3.5 g/dL, respectively. A weak correlation was noticed between TLC as well as albumin and frailty. They found a positive predictive value of 69% and a likelihood ratio of 4 (2.15–7.43) for postoperative complications when albumin of value <3.5 g/dL and mFI ≥0.18 were recorded in the same candidate. Overall, they suggested malnutrition as a potentially modifiable risk factor in frail hip fracture patients.
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