Evidence map›Paper›PMID 31540409›Full record

Observational studyNutrients2019

Factors Associated with Sarcopenia and 7-Year Mortality in Very Old Patients with Hip Fracture Admitted to Rehabilitation Units: A Pragmatic Study.

Vincenzo Malafarina, Concetta Malafarina, Arantzazu Biain Ugarte, J Alfredo Martinez, Itziar Abete Goñi, M Angeles Zulet

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Does early surgery within 48 hours improve clinical outcomes in elderly hip fractures? A matched cohort study of 1776 hip fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
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  8. Definitions and adverse outcomes of sarcopenia in older patients in orthopedic and trauma care: A scoping review on current evidence.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Vincenzo MalafarinaDepartment of Nutrition, Food Science and Physiology, School of Pharmacy and Nutrition, Universidad de Navarra, 31008 Pamplona, Spain. vmalafarina@gmail.com.ORCID 0000-0001-6748-1556
Concetta MalafarinaDepartment of Radiology, Complejo Hospitalario de Navarra, 31008 Pamplona, Spain. concetta.malafarina@navarra.es.
Arantzazu Biain UgarteNursing Department, Hospitalización a Domicilio, Complejo Hospitalario de Navarra, 31008 Pamplona, Spain. abiauga@alumni.unav.es.
J Alfredo MartinezDepartment of Nutrition, Food Science and Physiology, School of Pharmacy and Nutrition, Universidad de Navarra, 31008 Pamplona, Spain. jalfmtz@unav.es.ORCID 0000-0001-5218-6941
Itziar Abete GoñiDepartment of Nutrition, Food Science and Physiology, School of Pharmacy and Nutrition, Universidad de Navarra, 31008 Pamplona, Spain. iabetego@unav.es.ORCID 0000-0002-6475-5387
M Angeles ZuletDepartment of Nutrition, Food Science and Physiology, School of Pharmacy and Nutrition, Universidad de Navarra, 31008 Pamplona, Spain. mazulet@unav.es.ORCID 0000-0002-3926-0892

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdmitted bedridden older patients are at risk of the development of sarcopenia during hospital stay (incident sarcopenia). The objective of this study was to assess the factors associated with sarcopenia (incident and chronic) and its impact on mortality in older people with hip fracture.

methodsA multicenter, pragmatic, prospective observational study was designed. Older subjects with hip fracture admitted to two rehabilitation units were included. Sarcopenia was assessed at admission and at discharge according to the revised EWGSOP (European Working Group on Sarcopenia in Older People) consensus definition. The mortality was evaluated after 7 years of follow-up.

resultsA total of 187 subjects (73.8% women) age 85.2 ± 6.3 years were included. Risk factors associated to incident and chronic sarcopenia were undernutrition (body mass index-BMI and Mini Nutritional Assessment-Short Form-MNA-SF), hand-grip strength and skeletal muscle index. During follow-up 114 patients died (60.5% sarcopenic vs. 39.5% non-sarcopenic,

conclusionsOlder patients with undernutrition have a higher risk of developing sarcopenia during hospital stay, and sarcopenic patients have almost two times more risk of mortality than non-sarcopenic patients during follow-up after hip fracture.

Indexed as

Rehabilitation CentersSarcopeniaAgedAged, 80 and overBody Mass IndexFemaleGeriatric AssessmentHip FracturesHospitalizationHumansMaleMuscle, SkeletalProspective StudiesRisk Factorship fracturemortalityrehabilitation unitsarcopeniaskeletal muscle massundernutritionvery old patients

Identifiers

PMID31540409
PMCPMC6770746

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.