Analysis Of Nutritional Status And Prognosis In Elderly Patients With Hip Fracture

Objective:Through the analysis and comparison of the nutritional status of elderly patients with hip fracture admitted to hospital and the prognosis of the disease, so as to observe the effect of nutritional status on the prognosis of the disease.Methods:We retrospectively analyzed 135 cases (effective 120 cases) patients who underwent surgery for hip fractures (aged 60 years),1 years of follow-up. The age, sex, hip surgery type (total hip arthroplasty, femoral head replacement, closed reduction and intramedullary nail fixation), admission hemoglobin, admission serum albumin, discharge of hemoglobin, discharge of serum albumin, hospitalization time, complications, hospital mortality during and after operation 3 months mortality, postoperative mortality statistics, by statistical treatment obtained observations..Results:120 patients,53 cases (44.1%) preoperative albumin below 35 g/L,81 cases (67.5%) preoperative hemoglobin< 120 g/L, Kaplan-Meier analysis showed that albumin in patients with normal (more than or equal to 35 g/L) survival rate was significantly higher than that of the protein in patients with impaired (<35g/L) (P< 0.01); hemoglobin in patients with normal (more than or equal to 120 g/L) survival rate was significantly higher than that of hemoglobin in patients with impaired (< 120 g/L) (P< 0.05). Operation of preoperative albumin and preoperative hemoglobin were lower than normal value, postoperative complications, mortality, postoperative hospitalization after 3 months mortality, postoperative 1-year mortality were 12.8%, 5.0%,7.6%,17.9%,which were significantly higher than those in the single index on the low side of the patients group (P<0.05). Cox multivariate analysis showed that age, serum albumin and hemoglobin were independent prognostic factors for death in patients with hip fracture in elderly patients. Prompt the prognosis of elderly patients with hip fracture were closely related to their nutritional status.Routine admission tests such as albumin and hemoglobin can be used as an important indicator to judge the prognosis of patients.Conclusions:1?Albumin and hemoglobin are important risk factors for the death of elderly patients with hip fracture, so they can be used as important indicators to judge the prognosis of patients.2?The prognosis of elderly patients with hip fracture who were lower than the normal range of albumin or hemoglobin, and elderly patients with hip fracture have poorer prognosis and higher mortality rate, whose Albumin and hemoglobin were lower than the normal range.