Evidence map›Paper›PMID 35215470›Full record

ArticleNutrients2022

Postoperative Dehydration Is Associated with Frailty and Decreased Survival in Older Patients with Hip Fracture.

Michela Zanetti, Paolo De Colle, Cinzia Omiciuolo, Chiara Ratti, Gianluca Gortan Cappellari, Rocco Barazzoni, Luigi Murena, Gianfranco Sanson

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 24% of its field
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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Observational
  3. Dehydration independently predicts prolonged hospital stay following aseptic revision total shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Article
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

8 authors at 1 institution in 1 country.

Michela ZanettiClinica Medica, Clinical Department of Medical, Surgical and Health Sciences, University Hospital of Trieste, Strada di Fiume 447, 34100 Trieste, Italy.
Paolo De ColleGeriatria, Department of Medicine, University Hospital of Trieste, Piazza dell'Ospitale 1, 34100 Trieste, Italy.
Cinzia OmiciuoloGeriatria, Department of Medicine, University Hospital of Trieste, Piazza dell'Ospitale 1, 34100 Trieste, Italy.
Chiara RattiClinica Ortopedica, Clinical Department of Medical, Surgical and Health Sciences, University Hospital of Trieste, Strada di Fiume 447, 34100 Trieste, Italy.
Gianluca Gortan CappellariClinical Department of Medical, Surgical and Health Sciences, University Hospital of Trieste, Strada di Fiume 447, 34100 Trieste, Italy.
Rocco BarazzoniClinica Medica, Clinical Department of Medical, Surgical and Health Sciences, University Hospital of Trieste, Strada di Fiume 447, 34100 Trieste, Italy.
Luigi MurenaClinica Ortopedica, Clinical Department of Medical, Surgical and Health Sciences, University Hospital of Trieste, Strada di Fiume 447, 34100 Trieste, Italy.
Gianfranco SansonClinical Department of Medical, Surgical and Health Sciences, University Hospital of Trieste, Strada di Fiume 447, 34100 Trieste, Italy.ORCID 0000-0001-8319-635X
University of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHyperosmolar dehydration (HD) is a risk factor for severe complications in hip fracture in older patients. However, evidence for recommending screening of dehydration is insufficient and its relation with frailty and mortality is unclear. We tested the hypothesis that postoperative HD is associated with frailty and increased mortality.

methodsWe recruited 625 older (>65 years) patients surgically treated for hip fracture and co-managed by an orthogeriatric team over one year in 2017. Pre- and postoperative HD (serum osmolarity > 300 mmol/L) was diagnosed. Frailty and associated mortality risk were assessed by the Multidimensional Prognostic Index (MPI).

resultsThe prevalence of preoperative HD was 20.4%. Compared with no-HD, MPI was similar in HD patients despite higher (

conclusionsOlder frail patients with hip fracture are prone to developing postoperative HD, which independently predicts prolonged hospital LOS and mortality. Systematically screening older patients for frailty and dehydration is advisable to customize hydration management in high-risk individuals.

Indexed as

FrailtyHip FracturesAgedDehydrationHumansLength of StayPostoperative ComplicationsPostoperative Perioddehydrationfrailtyhip fractureolderorthogeriatric care

Identifiers

PMID35215470
PMCPMC8880665
OpenAlexW4212916025

What OpenQuestion holds

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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.