Volume 22 Issue 8
Aug.  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(8): 1340-1343
HUANG Yixiao, ZHOU Xuelai, WANG Yongle, ZHANG Kuixian. Effectiveness analysis of risk model for poor prognosis of hip fracture patients based on nutrition related indicators[J]. Chinese Journal of General Practice, 2024, 22(8): 1340-1343. doi: 10.16766/j.cnki.issn.1674-4152.003631
Citation: HUANG Yixiao, ZHOU Xuelai, WANG Yongle, ZHANG Kuixian. Effectiveness analysis of risk model for poor prognosis of hip fracture patients based on nutrition related indicators[J]. Chinese Journal of General Practice, 2024, 22(8): 1340-1343. doi: 10.16766/j.cnki.issn.1674-4152.003631
shu

Effectiveness analysis of risk model for poor prognosis of hip fracture patients based on nutrition related indicators

doi: 10.16766/j.cnki.issn.1674-4152.003631

  • Department of Orthopedics and Traumatology, Wenzhou TCM Hospital of Zhejiang Chinese Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 2024ZL990

  • Received Date: 2024-01-08
    Available Online: 2024-11-19
    Abstract
  •   Objective  Based on the nutrition-related indexes of patients with hip fracture, a risk model of poor prognosis was established and its predictive efficiency was analyzed.  Methods  From February 2020 to February 2022, a total of 172 patients with hip fracture who were treated in the Department of Orthopaedics, Wenzhou TCM Hospital of Zhejiang Chinese Medical University were selected as the research objects. According to the follow-up results, they were divided into survival group and death group. The nutritional related indexes of the two groups were compared. Logistic regression analysis was used to build a risk model for predicting poor prognosis of patients with hip fracture, and ROC curve analysis was conducted to evaluate the predictive efficiency of the model.  Results  Up to the last follow-up time, 3 patients were lost, 51 patients died and were included in death group, 118 patients were included in the survival group. Multivariate logistic regression showed that increasing age and reducing hemoglobin, albumin, prealbumin levels and decreasing serum creatinine were independent risk factors for poor prognosis in patients with hip fracture (P < 0.05). The ROC curve demonstrated that the joint prediction had higher predictive efficiency (AUC=0.989, sensitivity was 94.1%, specificity was 96.6%, accuracy was 95.86%) compared to single index.  Conclusion  The risk model based on the four nutritional indicators has good diagnostic efficiency in predicting the mortality of patients with hip fracture.

     

    • FullText(HTML)
  • loading
    • References(19)
  • [1]
    VERONESE N, KOLK H, MAGGI S. Epidemiology of fragility fractures and social impact[J]. Orthogeriatrics, 2021, 1(2): 19-34.
    [2]
    TREVISAN C, GALLINARI G, CARBONE A, et al. Fifteen years change in acute management of hip fracture patients: 1-year mortality calls for improvements[J]. Injury, 2021, 52(8): 2367-2372. doi: 10.1016/j.injury.2021.01.025
    [3]
    AUAIS M, SOUSA T, FENG C, et al. Understanding the relationship between psychological factors and important health outcomes in older adults with hip fracture: a structured scoping review[J]. Arch Gerontol Geriatr, 2022, 101: 104666. DOI: 10.1016/j.archger.2022.104666.
    [4]
    INOUE T, MAEDA K, NAGANO A, et al. Undernutrition, sarcopenia, and frailty in fragility hip fracture: advanced strategies for improving clinical outcomes[J]. Nutrients, 2020, 12(12): 3743. DOI: 10.3390/nu12123743.
    [5]
    BRINK O. Hip fracture clearance: how much optimisation is necessary?[J]. Injury, 2020, 51(Suppl 2): S111-S117.
    [6]
    中国老年医学学会骨与关节分会创伤骨科学术工作委员会. 老年髋部骨折诊疗专家共识(2017)[J]. 中华创伤骨科杂志, 2017, 19(11): 921-927.

    Academic Working Committee of Traumatic Orthopaedics, Bone and Joint Branch, Chinese Geriatrics Association. Expert consensus on diagnosis and treatment of hip fracture in the elderly (2017)[J]. Chinese Journal of Traumatic Orthopaedics, 2017, 19(11): 921-927.
    [7]
    盛虹, 章安迪. 慢性心力衰竭住院患者营养风险评估的临床应用研究[J]. 诊断学理论与实践, 2021, 20(2): 178-183.

    SHENG H, ZHANG A D. Study on application of nutritional risk screening in hospitalized patients with chronic heart failure[J]. Journal of Diagnostics Concepts & Practice, 2021, 20(2): 178-183.
    [8]
    BARCELÝ M, TORRES O H, MASCARÝ J, et al. Hip fracture and mortality: study of specific causes of death and risk factors[J]. Arch Osteoporos, 2021, 16(1): 15. DOI: 10.1007/s11657-020-00873-7.
    [9]
    FOO M, WONG G, LEW C. A systematic review of the malnutrition prevalence in hospitalized hip fracture patients and its associated outcomes[J]. J Parenter Enteral Nutr, 2021, 45(6): 1141-1152. doi: 10.1002/jpen.2211
    [10]
    ARDANEH M, FARAROUEI M, HASSANZADEH J. Falls leading to fracture and nutrition among older adults: a case-control study[J]. J Health Popul Nutr, 2023, 42(1): 18. doi: 10.1186/s41043-023-00361-x
    [11]
    FISHER A, SRIKUSALANUKUL W, FISHER L, et al. Comparison of prognostic value of 10 biochemical indices at admission for prediction postoperative myocardial injury and hospital mortality in patients with osteoporotic hip fracture[J]. J Clin Med, 2022, 11(22): 6784. DOI: 10.3390/jcm11226784.
    [12]
    MENG D, BAI X, WU H, et al. Patient and perioperative factors influencing the functional outcomes and mortality in elderly hip fractures[J]. J Invest Surg, 2021, 34(3): 262-269. doi: 10.1080/08941939.2019.1625985
    [13]
    NAKAHARA S, TAKASAKI M, ABE S, et al. Aggressive nutrition therapy in malnutrition and sarcopenia[J]. Nutrition, 2021, 84(1): 111109. DOI: 10.1016/j.nut.2020.111109.
    [14]
    WILSON J M, KUKOWSKI N R, STALEY C A, et al. Role of hypoalbuminemia as an independent predictor of 30-day postoperative complications following surgical fixation of ankle fractures[J]. Foot Ankle Int, 2020, 41(3): 303-312. doi: 10.1177/1071100719895222
    [15]
    CHEN Y, WU X, CHEN J, et al. Nutritional condition analysis of the older adult patients with femoral neck fracture[J]. Clin Nutr, 2020, 39(4): 1174-1178. doi: 10.1016/j.clnu.2019.04.034
    [16]
    HADDAD B I, HAMDAN M, ALSHROUF M A, et al. Preoperative hemoglobin levels and mortality outcomes after hip fracture patients[J]. BMC Surg, 2023, 23(1): 266. DOI: 10.1186/s12893-023-02174-5.
    [17]
    FRANDSEN C F, GLASSOU E N, STILLING M, et al. Malnutrition, poor function and comorbidities predict mortality up to one year after hip fracture: a cohort study of 2800 patients[J]. Eur Geriatr Med, 2022, 13(2): 433-443. doi: 10.1007/s41999-021-00598-x
    [18]
    常颖, 王文宁, 孟晶. 围术期优化型口服营养补充和延伸性营养管理对老年髋部骨折患者术后恢复的影响效果研究[J]. 现代预防医学, 2022, 49(2): 241-245.

    CHANG Y, WANG W N, MENG J. Study on the effect of perioperative optimized oral nutrition supplement and extended nutrition management on postoperative recovery of elderly patients with hip fracture[J]. Modern Preventive Medicine, 2022, 49(2): 241-245.
    [19]
    SAWA Y, KAYASHITA J, NIKAWA H. Occlusal support is associated with nutritional improvement and recovery of physical function in patients recovering from hip fracture[J]. Gerodontology, 2020, 37(1): 59-65. doi: 10.1111/ger.12446
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (1) PDF downloads(0) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return