Publication details

Title
Prevalence of malnutrition in elderly over 75 years old with hip fracture.
Authors
Drevet,S.;Maziere,S.;Bioteau,C.;Couturier,P.;Tonetti,J.;Gavazzi,G.
Publication Year
2013
Abstract
Background.- In the elderly, malnutrition might increase the occurrence of falls and fractures. Despite the European Society of Parenteral and Enteral Nutrition's recommendations, screening of malnutrition in the elderly hospitalized for hip fracture seems poorly achieved. The Mini Nutritional Assessment (MNA) is probably the best tool to detect malnutrition in peri-operative context. The aim of this study was to determine the prevalence of malnutrition in elderly patients with hip fracture. Methods.- A prospective study was conducted (May to September 2012), including patients over 75 years old consecutively admitted for hip fracture in an Orthopedic unit of the Grenoble University Hospital. Malnutrition was defined by a MNA< 17/30 and risk of malnutrition by a score between 17 and 23.5/30. Comorbidities (CIRS-G), cognitive (MMSE) and functional status (BADL), and length of hospital stay were collected. A univariate analysis was set. Results.- Fifty patients were included (mean age 86,1 y). The prevalence of malnutrition was 28% and risk of malnutrition was 58%. Malnourished patients had a higher CIRS-G (P < 0.01) and a higher number of severe comorbidities (P < 0.01). Their mean MMSE and BADL were lower (P < 0.01). A higher length of stay was associated with malnutrition (P = 0.01). Conclusions.- Our study confirms a high prevalence of malnutrition in elderly hospitalized for hip fracture but suggests also that malnutrition increases the length of stay. Yet, early screening of malnutrition in the elderly should be done. Interventional studies are needed to determine whether management of malnutrition may improve early and long-term outcomes.
Journals
Eur Geriatr Med.
Volume
4
Issue
1
Startpage
S132-
Endpage
S133 [Poster P372, 9th Congress of the European Union Geriatric Medicine Society (EUGMS), Venice, Italy, October 2-4, 2013]
Booktitle
Editors
City
Publisher
Issnisbn
1878-7649
Reflist
0
Doi
doi:10.1016/j.eurger.2013.07.436
Pmid
Keywords
prevalence;malnutrition;aged;human;hip fracture;European Union;geriatrics;society;patient;screening;length of stay;risk;enteric feeding;fracture;intervention study;univariate analysis;hospitalization;functional status;university hospital;prospective study????
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