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Risk of malnutrition in orthopedic trauma patients with surgical site infections is associated with increased morbidity and mortality – A 3-year follow-up study

Injury Jun 18, 2020

Maurer E, Wallmeier V, Reumann Mk, et al. - This study was attempted to assess whether and how malnutrition risk influences clinical outcomes in a prospective cohort of orthopedic trauma patients with surgical site infections (SSI). A sum 345 patients were included who had undergone surgery due to SSI at a level 1 trauma center. Researchers analyzed all individuals on their nutritional status as evaluated by the Nutritional Risk Screening in 2014/15 and 2017/18. In orthopedic trauma patients, risk of malnutrition (ROM) with SSI is correlated with an elevated number of comorbidities and requirement for medication intake, a decrease in mobility and a higher dependency for food acquisition. Compared with well-nourished patients, patients at ROM showed a 6.2-times higher mortality rate. EQ-5D assessment exhibited better mobility, self-supply, and activity of daily living in well-nourished patients. They therefore strongly recommend supplementing individuals with ROM with a specific diet during and after discharge from the hospital in order to decrease postoperative complications and long-term mortality.

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