The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture
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 in...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2022-09-01
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| Series: | Türk Yoğun Bakim Derneği Dergisi |
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| Online Access: | https://www.turkishjic.org/archives/archive-detail/article-preview/the-relationship-between-preoperative-prognostic-n/50717 |
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| author | Nur Canbolat Dilan Büyük İlhan Sulejmani Yavuz Sağlam Demet Altun Hayati Durmaz Mehmet I. Buget |
| author_facet | Nur Canbolat Dilan Büyük İlhan Sulejmani Yavuz Sağlam Demet Altun Hayati Durmaz Mehmet I. Buget |
| author_sort | Nur Canbolat |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-aedae58a6ebb485f81dfe0b2e3e72171 |
| institution | Kabale University |
| issn | 2146-6416 2147-267X |
| language | English |
| publishDate | 2022-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Yoğun Bakim Derneği Dergisi |
| spelling | doaj-art-aedae58a6ebb485f81dfe0b2e3e721712025-08-20T03:39:00ZengGalenos YayineviTürk Yoğun Bakim Derneği Dergisi2146-64162147-267X2022-09-0120Suppl 171310.4274/tybd.galenos.2022.6263413049054The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip FractureNur Canbolat0https://orcid.org/0000-0003-1490-3027Dilan Büyük1https://orcid.org/0000-0002-7571-6260İlhan Sulejmani2https://orcid.org/0000-0002-0715-5772Yavuz Sağlam3https://orcid.org/0000-0003-4475-8211Demet Altun4https://orcid.org/0000-0002-9628-0865Hayati Durmaz5https://orcid.org/0000-0002-2571-6617Mehmet I. Buget6https://orcid.org/0000-0002-8321-6346İstanbul University-İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, Turkeyİstanbul University-İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, Turkeyİstanbul University-İstanbul Faculty of Medicine, Department of Orthopedics and Traumatology, İstanbul, Turkeyİstanbul University-İstanbul Faculty of Medicine, Department of Orthopedics and Traumatology, İstanbul, Turkeyİstanbul University-İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, Turkeyİstanbul University-İstanbul Faculty of Medicine, Department of Orthopedics and Traumatology, İstanbul, Turkeyİstanbul University-İstanbul Faculty of Medicine, Department of Anesthesiology and Reanimation, İstanbul, TurkeyObjective: 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.https://www.turkishjic.org/archives/archive-detail/article-preview/the-relationship-between-preoperative-prognostic-n/50717prognostic nutritional indexhip fracturemortalitydeliriummalnutrition |
| spellingShingle | Nur Canbolat Dilan Büyük İlhan Sulejmani Yavuz Sağlam Demet Altun Hayati Durmaz Mehmet I. Buget The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture Türk Yoğun Bakim Derneği Dergisi prognostic nutritional index hip fracture mortality delirium malnutrition |
| title | The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture |
| title_full | The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture |
| title_fullStr | The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture |
| title_full_unstemmed | The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture |
| title_short | The Relationship Between Preoperative Prognostic Nutritional Index and Postoperative Mortality in Patients with Hip Fracture |
| title_sort | relationship between preoperative prognostic nutritional index and postoperative mortality in patients with hip fracture |
| topic | prognostic nutritional index hip fracture mortality delirium malnutrition |
| url | https://www.turkishjic.org/archives/archive-detail/article-preview/the-relationship-between-preoperative-prognostic-n/50717 |
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