Evidence map›Paper›PMID 36577983›Full record

ArticleBMC geriatrics2022

The Impact of Controlling Nutritional Status (CONUT) score on functional prognosis in hospitalized elderly patients with acute osteoporotic vertebral fractures.

Tetsuto Yamaura, Fumihiro Arizumi, Keishi Maruo, Kazuya Kishima, Norichika Yoshie, Tomoyuki Kusukawa, Fumiaki Imamura, Toshiya Tachibana

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. [The value of the nutritional assessment index or score in prognostic evaluation for patients with liver cancer].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  3. Controlling Nutritional Status (CONUT) score as a key predictor of disability following conservative treatment of osteoporotic vertebral fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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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

8 authors at 1 institution in 1 country.

Tetsuto YamauraDepartment of Orthopaedic Surgery, JCHO Osaka Minato Central Hospital, Osaka, Japan. ds2025@hyo-med.ac.jp.
Fumihiro ArizumiDepartment of Orthopaedic Surgery, Hyogo Medical University, 1-1 mukogawa-cho, Nishinomiya, Hyogo, Japan.
Keishi MaruoDepartment of Orthopaedic Surgery, Hyogo Medical University, 1-1 mukogawa-cho, Nishinomiya, Hyogo, Japan.
Kazuya KishimaDepartment of Orthopaedic Surgery, Hyogo Medical University, 1-1 mukogawa-cho, Nishinomiya, Hyogo, Japan.
Norichika YoshieDepartment of Orthopaedic Surgery, Hyogo Medical University, 1-1 mukogawa-cho, Nishinomiya, Hyogo, Japan.
Tomoyuki KusukawaDepartment of Orthopaedic Surgery, Hyogo Medical University, 1-1 mukogawa-cho, Nishinomiya, Hyogo, Japan.
Fumiaki ImamuraDepartment of Orthopaedic Surgery, JCHO Osaka Minato Central Hospital, Osaka, Japan.
Toshiya TachibanaDepartment of Orthopaedic Surgery, Hyogo Medical University, 1-1 mukogawa-cho, Nishinomiya, Hyogo, Japan.
Osaka Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNutritional status, which is associated with osteoporosis and muscle weakness is considered an important factor in the management of acute osteoporotic vertebral fracture (AOVF). However, few reports have investigated the nutritional status of hospitalized patients with AOVF and the impact of malnutrition on their functional prognosis. This study aimed to evaluate the nutritional status of hospitalized elderly patients with AOVF using the Controlling Nutritional Status (CONUT) score and to determine the usefulness of the CONUT score in predicting their functional prognosis.

methodsThe CONUT score on admission was retrospectively calculated for 134 hospitalized elderly patients (mean age 83 ± 7.6 years, 66% female) with AOVF who received conservative treatment between 2017 and 2020. Functional outcome was assessed by comparing ambulatory ability before the onset of AOVF and upon discharge. Patients were divided into two groups: CONUT-high ( ≥ 4) and CONUT-low ( ≤ 3), according to receiver operating characteristic (ROC) analysis to predict decline in ambulatory ability upon discharge. Logistic regression analysis was performed to obtain odds ratios (OR) and 95% confidence intervals (CI) of the relationships between the nutritional status and ambulatory ability. The discriminative power of the CONUT score was then compared with other nutritional assessment tools such as the Geriatric Nutritional Risk Index (GNRI) and prognostic nutritional index (PNI) by ROC analysis.

results81% of hospitalized patients with an AOVF were malnourished at the time of admission. The CONUT-high group had a significantly higher rate of decline in ambulatory ability (P < 0.001) than the CONUT-low group. Logistic regression analysis revealed the CONUT score ( ≥ 4) as an independent risk factor for a decline in ambulatory ability (OR 3.44, 95% CI 1.61-7.37, P = 0.0014). ROC analysis showed that the area under the curve (AUC) for the CONUT score (AUC = 0.724) was significantly greater than that for the GNRI (AUC = 0.624, P = 0.021) and PNI (AUC = 0.636, P = 0.0008).

conclusionsThis study showed that 81% of hospitalized elderly patients with AOVFs were malnourished and that the CONUT score was a useful predictive factor of functional prognosis.

Indexed as

MalnutritionOsteoporotic FracturesAgedAged, 80 and overFemaleHumansMaleNutritional StatusNutrition AssessmentPrognosisRetrospective StudiesControlling Nutritional Status scorenutritional statusosteoporotic vertebral fractures

Identifiers

PMID36577983
PMCPMC9795616
OpenAlexW4313417163

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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.