The relationship between nutritional status of hip fracture operated elderly patients and their functioning, comorbidity and outcome

Koren-Hakim, Tamar; Weiss, Avraham; Hershkovitz, Avital; Otzrateni, Irena; Grosman, Boris; Frishman, S.; Salai, Moshe; Beloosesky, Yichayaou

doi:10.1016/j.clnu.2012.03.010

Cited by 111 publications

(98 citation statements)

References 29 publications

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“…The study design was described in detail in an earlier study analyzing the relationship between the nutritional status of hip fracture operated elderly patients and functioning, comorbidity and outcome [13]. Our present cohort study, as the earlier one, took place in the Ortho-Geriatric Unit of the Department of Geriatrics, Beilinson Hospital, Rabin Medical Center, Israel.…”

Section: Methodsmentioning

confidence: 98%

Comparing the adequacy of the MNA-SF, NRS-2002 and MUST nutritional tools in assessing malnutrition in hip fracture operated elderly patients

et al. 2016

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Section: Methodsmentioning

confidence: 98%

Comparing the adequacy of the MNA-SF, NRS-2002 and MUST nutritional tools in assessing malnutrition in hip fracture operated elderly patients

et al. 2016

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“…These structured interventions may prevent some of the most common complications associated with hip fractures. 33,34 Prevention of Infections Pneumonia and urinary tract infections are the most common postoperative infections, related to immobility and use of indwelling urinary catheters. Good pulmonary hygiene and avoidance of oversedation can reduce pneumonia.…”

Section: Malnutrition and Pressure Ulcersmentioning

confidence: 99%

Management of Postoperative Complications

Sanguineti¹,

Wild²,

Fain³

2014

Clinics in Geriatric Medicine

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“…In fact, similar concentrations of total 25-hydroxyvitamin D may result in different levels of free bioactive calcifediol, which in turn result in different PTH levels in the presence of different levels of binding proteins. 39,40 Notably, following a hipfracture major changes in vitamin D-binding protein are expected because of both protein-depletion due to malnutrition 41 and selective consumption due to the involvement of vitamin D-binding protein in the repair of injuried tissues. 42 our study has limitations.…”

mentioning

confidence: 99%

Parathyroid hormone response to severe vitamin D deficiency is associated with femoral neck bone mineral density: an observational study of 405 women with hip-fracture

Monaco¹,

Castiglioni²,

Tappero³

2017

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oBjEcTIVE: hip-fracture patients with vitamin D deficiency can have either secondary hyperparathyroidism or normal levels of parathyroid hormone (pTh). we hypothesized that bone mineral density (BMD) could be lower in patients with high pTh levels than in those with normal levels of pTh, irrespectively of the severity of vitamin D depletion. DEsIgn: In this cross-sectional study, we examined 405 women who had serum 25-hydroxyvitamin D below 12ng/ml 20.0 ± 5.9 (mean ± sD) days after a hip-fracture. pTh was assessed by a chemiluminescent immunometric assay and BMD by dual-energy x-ray absorptiometry at the unfractured femoral neck. rEsulTs: BMD was significantly lower in the 148 women with secondary hyperparathyroidism than in the 257 with normal pTh levels: the mean T-score (sD) was -2.88 (0.93) and -2.65 (0.83), respectively, in the two groups (mean difference 0.23; 95% cI 0.05 -0.41; p = 0.010). The association between pTh status and BMD persisted after adjustment for age, body mass index, phosphate, albumin-adjusted total calcium, 25-hydroxyvitamin D, estimated glomerular filtration rate, and magnesium (p=0.01). The presence of secondary hyperparathyroidism was significantly associated with a femoral neck T-score lower than -2.5. The adjusted odds ratio was 1.81 (95% cI 1.11 -2.95; p=0.017). conclusIons: our results show that pTh levels in the presence of severe vitamin D deficiency were significantly associated with femoral BMD in women with hip-fracture. prevention and treatment of vitamin D deficiency may be particularly relevant in women who develop secondary hyperparathyroidism.

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The relationship between nutritional status of hip fracture operated elderly patients and their functioning, comorbidity and outcome

Cited by 111 publications

References 29 publications

Comparing the adequacy of the MNA-SF, NRS-2002 and MUST nutritional tools in assessing malnutrition in hip fracture operated elderly patients

Comparing the adequacy of the MNA-SF, NRS-2002 and MUST nutritional tools in assessing malnutrition in hip fracture operated elderly patients

Management of Postoperative Complications

Parathyroid hormone response to severe vitamin D deficiency is associated with femoral neck bone mineral density: an observational study of 405 women with hip-fracture

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