Prognostic role of serum albumin, total lymphocyte count, and Mini Nutritional Assessment on outcomes after geriatric hip fracture surgery: A meta-analysis and systematic review
Journal of Arthroplasty Mar 14, 2019
Li S, et al. - Researchers studied 34,363 adults aged 74-85 years receiving hip fracture surgery to estimate the prognostic significance of serum albumin, total lymphocyte count, and Mini Nutritional Assessment (MNA) on results after geriatric hip fracture surgery. Thirteen candidates were screened for low albumin, 4 subjects for total lymphocyte count (TLC), and 4 for nutritional status by MNA. A significant relationship between hypoalbuminemia and higher total mortality and a higher risk of in-hospital death was reported. They also noticed a correlation of low TLC and MNA result "at risk of malnutrition" and "malnourished" nutritional status with higher total mortality. Overall, they concluded low serum albumin level, an individual indicator for enhanced risk of in-hospital death, postoperative complications, and total mortality after hip fracture surgery in older.
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