Evidence map›Paper›PMID 38849714›Full record

ArticleAging clinical and experimental research2024

Combined nutritional status and activities of daily living disability is associated with one-year mortality after hip fracture surgery for geriatric patients: a retrospective cohort study.

Ying Chen, Ying Guo, Gang Tong, Yu He, Ruihua Zhang, Qi Liu

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Article in Aging clinical and experimental research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

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13citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

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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.

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3 · Its place in the literature

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

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ying ChenDepartment of Geriatrics, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Ying GuoDepartment of Geriatrics, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Gang TongDepartment of Orthopedics, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Yu HeDepartment of Geriatrics, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Ruihua ZhangDepartment of Geriatrics, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Qi LiuDepartment of Geriatrics, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China. liuqi6612@mail.ccmu.edu.cn.

Funding

Beijing Municipal Health Commission 2020-641
6 · The paper itself

Abstract

objectiveWe aimed to explore the association combined nutritional status and activities of daily living disability with all-cause mortality of older adults with hip fracture in the first year after hospitalization.

methodsThis is a single-center retrospective cohort study in older adults with hip fracture patients. Clinical data and laboratory results were collected from electronic medical record system of our hospital (2014-2021). The endpoint of this study was all-cause mortality in the first year after hospitalization.

resultsA total of 303 older adults were enrolled and all-cause mortality was 21.8%. The study population was categorized by CONUT score. Patients in CONUT score 5-12 had a higher age, ASA status, CRP and creatinine level, more patients with history of fracture, pneumonia and delirium, meanwhile, lower BMI and ADL score, lower hemoglobin, lymphocyte, total protein, albumin, triglyceride, total cholesterol and one year survival than those in CONUT score 0-4 (all P < 0.05). Multivariable Cox analysis showed that BMI, ADL score and CONUT score were independent risk factors for all-cause mortality of hip fracture in older adults (HR (95% CI):2.808(1.638, 4.814), P < 0.001; 2.862(1.637, 5.003), P < 0.001; 2.322(1.236, 4.359), P = 0.009, respectively). More importantly, the combined index of CONUT and ADL score had the best predictive performance based on ROC curve (AUC 0.785, 95% CI: 0.734-0.830, P < 0.0001). Kaplan-Meier survival curves for all-cause mortality showed that patients with CONUT score increase and ADL score impairment had a higher mortality rate at 1 year compared to CONUT score decrease and ADL score well (Log Rank χ2 = 45.717, P < 0.0001).

conclusionsCombined CONUT and ADL score is associated with one-year mortality after hip fracture surgery for geriatric patients.

Indexed as

Activities of Daily LivingHip FracturesNutritional StatusAgedAged, 80 and overFemaleGeriatric AssessmentHumansMalePersons with DisabilitiesRetrospective StudiesRisk FactorsActivities of daily livingHip fractureNutritional status controlOlder adultsPrognosis

Identifiers

PMID38849714
PMCPMC11161424

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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.