Geriatric Nutritional Risk Index as a Screening Tool to Identify Patients with Malnutrition at a High Risk of In-Hospital Mortality among Elderly Patients with Femoral Fractures—A Retrospective Study in a Level I Trauma Center
Abstract
:1. Background
2. Methods
2.1. Ethics Statement
2.2. Data Extraction
2.3. Statistical Analysis
3. Results
3.1. Patient and Injury Characteristics
3.2. Comparison of Propensity Score-Matched Patient Cohorts
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Variables | Group 1 | Group 2 | Group 3 | Group 4 | p |
---|---|---|---|---|---|
Range of GNRI | GNRI < 82 | 82 ≤ GNRI < 92 | 92 ≤ GNRI ≤ 98 | GNRI > 98 | |
Number of patients | n = 127 | n = 179 | n = 123 | n = 249 | |
Gender | 0.033 | ||||
Male, n (%) | 53 (41.7) * | 67 (37.4) | 43 (35.0) | 69 (27.7) | |
Female, n (%) | 74 (58.3) * | 112 (62.6) | 80 (65.0) | 180 (72.3) | |
Age (years) | 81.8 ± 7.3 * | 81.3 ± 7.5 * | 78.9 ± 6.9 | 77.4 ± 7.5 | <0.001 |
BMI | 18.8 ± 2.9 * | 21.9 ± 2.8 * | 23.4 ± 3.0 * | 26.6 ± 3.9 | <0.001 |
Albumin level (g/dL) | 2.6 ± 0.5 * | 3.0 ± 0.5 * | 3.3 ± 0.5 * | 3.8 ± 0.5 | <0.001 |
Comorbidities | |||||
DM, n (%) | 28 (22.0) * | 50 (27.9) * | 46 (37.4) | 110 (44.2) | <0.001 |
HTN, n (%) | 67 (52.8) * | 113 (63.1) | 90 (73.2) | 178 (71.5) | 0.001 |
CAD, n (%) | 16 (12.6) | 18 (10.1) | 20 (16.3) | 37 (14.9) | 0.374 |
CHF, n (%) | 6(4.7) | 8 (4.5) | 6 (4.9) | 7 (2.8) | 0.695 |
CVA, n (%) | 12 (9.4) | 20 (11.2) | 29 (23.6) * | 27 (10.8) | 0.002 |
ESRD, n (%) | 2 (1.6) | 15 (8.4) | 5 (4.1) | 14 (5.6) | 0.063 |
GCS, median (IQR) | 15 (15–15) | 15 (15–15) * | 15 (15–15) | 15 (15–15) | 0.016 |
3–8 | 1 (0.8) | 6 (3.4) | 1 (0.8) | 4 (1.6) | 0.265 |
9–12 | 8 (6.3) * | 11 (6.1) * | 3 (2.4) | 1 (0.4) | 0.002 |
13–15 | 118 (92.9) | 162 (90.5) * | 119 (96.7) | 244 (98) | 0.003 |
ISS, median (IQR) | 9 (9–9) | 9 (9–9) | 9 (9–9) | 9 (9–9) | 0.705 |
1–15 | 121 (95.3) | 165 (92.2) | 114 (92.7) | 230 (92.4) | 0.718 |
16–24 | 1 (0.8) | 4 (2.2) | 3 (2.4) | 9 (3.6) | 0.417 |
≥25 | 5 (3.9) | 10 (5.6) | 6 (4.9) | 10 (4.0) | 0.863 |
Mortality, n (%) | 22 (17.3) * | 12 (6.7) | 3 (2.4) | 9 (3.6) | <0.001 |
Groups of Comparison | Numbers of Pairs of Patients n | Mortality of Compared Group n (%) | Mortality of Group 4 n (%) | OR (95% CI) | p | |||
---|---|---|---|---|---|---|---|---|
Group 1 vs. Group 4 | 75 | 11 | (14.7) | 2 | (2.7) | 6.3 | (1.34–29.37) | 0.009 |
Group 2 vs. Group 4 | 95 | 7 | (7.4) | 2 | (2.1) | 3.7 | (0.75–18.29) | 0.088 |
Group 3 vs. Group 4 | 88 | 2 | (2.3) | 5 | (5.7) | 0.4 | (0.07–2.05) | 0.247 |
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Su, W.-T.; Wu, S.-C.; Huang, C.-Y.; Chou, S.-E.; Tsai, C.-H.; Li, C.; Hsu, S.-Y.; Hsieh, C.-H. Geriatric Nutritional Risk Index as a Screening Tool to Identify Patients with Malnutrition at a High Risk of In-Hospital Mortality among Elderly Patients with Femoral Fractures—A Retrospective Study in a Level I Trauma Center. Int. J. Environ. Res. Public Health 2020, 17, 8920. https://doi.org/10.3390/ijerph17238920
Su W-T, Wu S-C, Huang C-Y, Chou S-E, Tsai C-H, Li C, Hsu S-Y, Hsieh C-H. Geriatric Nutritional Risk Index as a Screening Tool to Identify Patients with Malnutrition at a High Risk of In-Hospital Mortality among Elderly Patients with Femoral Fractures—A Retrospective Study in a Level I Trauma Center. International Journal of Environmental Research and Public Health. 2020; 17(23):8920. https://doi.org/10.3390/ijerph17238920
Chicago/Turabian StyleSu, Wei-Ti, Shao-Chun Wu, Chun-Ying Huang, Sheng-En Chou, Ching-Hua Tsai, Chi Li, Shiun-Yuan Hsu, and Ching-Hua Hsieh. 2020. "Geriatric Nutritional Risk Index as a Screening Tool to Identify Patients with Malnutrition at a High Risk of In-Hospital Mortality among Elderly Patients with Femoral Fractures—A Retrospective Study in a Level I Trauma Center" International Journal of Environmental Research and Public Health 17, no. 23: 8920. https://doi.org/10.3390/ijerph17238920