Do We Care About Nutritional Support in Patients Hospitalized with a Diagnosis of Femoral Neck Fracture?
Abstract
Abstract
Objective: Femoral neck fractures (FNF) occur in the intracapsular region of the proximal femur. The incidence of fractures in the proximal femur increases with age. FNF’s cause high mortality and morbidity. Malnutrition is also one of the problems of these patients. In this study, it was aimed to reveal the importance of necessary nutritional follow-up in patients hospitalized in our hospital.
Material and Methods: Data of patients hospitalized in Kutahya Health Sciences University Evliya Celebi Training and Research Hospital with a diagnosis of FNF between 2017-2018 were retrospectively scanned from the patient file and the hospital automation system. Two hundred and twenty nine patients were included in the study. Hospitalization diagnosis, age and gender, albumin, C-reactive protein (CRP), and lymphocyte values of the patients were measured.
The nutritional risk score (NRS-2002) made for each patient in the automation system of our hospital was checked. For nutritional support, it was checked whether a consultation was requested from the nutrition support team (NST).
Results: The mean age of the patients included in the study was found to be 74 years. 79.3% were over 65 years old, while 20.97% were under 65. It was determined that 65.1% of the patients had albumin, 24.5% lymphocyte and 88.2% CRP values outside the normal range. There was a statistically significant negative correlation of 41% between the patients albumin and age variable (p<0.05). When looking at NRS-2002, 94.8% was seen as not calculated. NST consultation was not requested from any of the patients.
Conclusion: Considering the perioperative nutritional support of hip fracture patients can reduce morbidity and mortality and improve quality of life. In our study, we revealed the necessity of giving more importance to nutritional support.
Keywords
femur neck fracture , nutritional risk score , nutritional support team
Kaynakça
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