The effect of nutrition, depression, activity scores on mortality in patients with geriatric hip fractures.

Abstract

AİM: Hip fracture causes high mortality rates in elderly patients. Here we investigate the relationship between serum laboratory parameters, bone densitometers, malnutrition, depression and pre-fracture survival activity scores of patients who died within 24 months after surgery for hip fracture. METHODS: 121 patients who underwent surgery for hip fracture between 2013 and 2016 and who met the study criteria were evaluated retrospectively. The patients who died within the first 24 months after surgery were evaluated as Group 1, and the patients who died after 24 months or who were still alive were evaluated as Group 2. Serum parameters before surgery, hip and vertebra bone densitometry were examined. The Barthel and Lawton life scale was completed, Mini nutritional assesment (MNA), geriatric depression scala short form (GDS-SF) and preoperative length of stay and BMI were evaluated. RESULTS: Comparing the parameters between groups, we detected no significant difference between age, BMI, vertebral BMD preoperative length of stay. Albumin, total protein, hip BMD, barthel score, and the lawton scoring system, GDS-FM, MNA showed significant differences between the two groups (P<0.05). According to the regression analysis, Albumin, total protein, MNA, GDS-SF, Barthel Score and Lawton scoring systems showed a significantly correlation in patients with mortality in the first 24 months (P<0.05). CONCLUSION: Geriatric hip fractures have many factors that determine the risk of mortality within the first 24 months. According to our study, low albumin, total protein , malnutrition, high depression as well as low pretreatment activity scores, indicate high mortality risk in the 24 months.

Keywords

• Hip fractures
• depression
• nutrition
• geriatric mortality
• bone densitometry

Geriatrik kalça kırığı hastalarında beslenme, depresyon, aktivite skorlarının mortalite üzerine etkisi.

Öz

AMAÇ: Kalça kırığı yaşlı hastalarda yüksek mortalite oranlarına sebep olur. Bu çalışmada kalça kırığı nedeniyle ameliyat sonrası 24 ay içinde ölen hastaların serum laboratuvar parametreleri, kemik dansitometreleri, yetersiz beslenme, depresyon ve kırık öncesi sağkalım aktivite skorları arasındaki ilişkiyi araştırdık. GEREÇ VE YÖNTEM 2013-2016 yılları arasında kalça kırığı nedeniyle ameliyat edilen ve çalışma kriterlerini karşılayan 121 hasta retrospektif olarak incelendi. Ameliyattan sonraki ilk 24 ay içinde ölen hastalar Grup 1, 24 ay sonra ölen veya halen hayatta olan hastalar Grup 2 olarak değerlendirildi. Ameliyat öncesi serum parametreleri, kalça ve vertebra dansitometrisi ölçüldü. Barthel ve Lawton aktivite skorları, Mini beslenme değerlendirmesi (MNA), geriatrik depresyon skala kısa formu (GDS-SF) ve preoperatif yatış süresi ve BMİ değerlendirilmiştir. BULGULAR: Gruplar arasındaki parametreleri karşılaştırarak yaş, BMİ, vertebra dansitometresi, preoperatif yatış süresi arasında anlamlı bir fark saptanmadı. Albümin, toplam protein, kalça dansitometresi, barthel ve lawton aktivite skorları, GDS-FM, MNA iki grup arasında anlamlı farklılıklar gösterdi (P <0.05). Regresyon analizine göre, albumin, total protein, MNA, GDS-SF, Barthel ve Lawton aktivite skorları ilk 24 ayda mortalitesi olan hastalarda anlamlı bir korelasyon gösterdi (P <0.05). SONUÇ: Geriatrik kalça kırıkları ilk 24 ay içinde mortalite riskini belirleyen birçok faktöre sahiptir. Çalışmamıza göre, düşük albümin, total protein, yetersiz beslenme, yüksek depresyon ve düşük aktivite skorları geriatrik kalça kırıklarında ilk 24 ayda yüksek mortalite riskini göstermektedir.

Anahtar Kelimeler

• kalça kırıkları
• depresyon
• beslenme
• geriatrik mortalite
• kemik dansitometresi

Kaynakça

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