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Nutritional differences in patients with proximal femoral fractures
Author(s)Nicola Maffulli, Timothy W Dougall, Matthew T F Brown
Journal titleAge and Ageing, vol 28, no 5, September 1999
Pagespp 458-462
KeywordsNutrition ; Malnutrition ; Weight ; Fractures ; Admission [hospitals] ; Clinical surveys.
AnnotationThe reason why older people's hips tend to break in one of two anatomical regions is uncertain, but nutritional factors may affect the site of a fracture. This study assesses possible nutritional differences in 119 patients admitted to trauma wards with proximal femoral fractures. One researcher measured triceps, biceps and supra-iliac skinfold thickness, and mid upper arm circumference on admission and on the fifth post-operative day. Body mass index (BMI) was calculated for each patient, and used to classify patients as severely, moderately or mildly malnourished, normal, overweight, or obese. Logistic regression was used to determine the influence of various factors on fracture site. According to their BMI, 31% of patients were classified as malnourished, and 11% as severely malnourished. Patients with intracapsular fractures were significantly more malnourished than those with trochanteric fractures, who tended to be overweight. Nutritional status was not related to post-operative complications. Ability to weigh a patient on the fifth post-operative day was the single most important prognostic indicator for complications. (RH).
Accession NumberCPA-991021210 A
ClassmarkCF: CSM: 4X6: CUF: LD:QKH: 3G

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