A Comparison of Patients with Hip Fracture, Ten Years Apart: Morbidity, Malnutrition and Sarcopenia.
Objectives: To investigate possible differences in morbidity, malnutrition, sarcopenia and specific drug use in patients with hip fracture, ten years apart. To analyse 1-year mortality and possible associations with variables. Design: A prospective, observational study. Setting: Örebro University Ho...
| Published in: | Journal of Nutrition, Health & Aging Vol. 24; no. 8; pp. 870 - 878 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Elsevier B.V.
Aug2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146431516&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146431516 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 12797707 2ZSX jtl: Journal of Nutrition, Health & Aging issn: 12797707 maglogo: N pubinfo: dt: Aug2020 vid: 24 iid: 8 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 146431516 144078015 146431516 146431516 10.1007/s12603-020-1408-2 146431516 ppf: 870 ppct: 8 formats: tig: atl: A Comparison of Patients with Hip Fracture, Ten Years Apart: Morbidity, Malnutrition and Sarcopenia. aug: au: Probert, Noelle Lööw, A. Akner, G. Wretenberg, P. Andersson, Å. G. affil: Faculty of Medicine and Health, Örebro University, Örebro, Sweden sug: subj: Hip Fractures Complications Comorbidity Trends Malnutrition Trends Sarcopenia Trends Polypharmacy Time Factors Human Sweden Comparative Studies Prospective Studies Nonexperimental Studies Descriptive Statistics Odds Ratio Confidence Intervals Hip Fractures Mortality Functional Status Comorbidity Risk Factors Malnutrition Epidemiology Sarcopenia Epidemiology Clinical Assessment Tools ab: Objectives: To investigate possible differences in morbidity, malnutrition, sarcopenia and specific drug use in patients with hip fracture, ten years apart. To analyse 1-year mortality and possible associations with variables. Design: A prospective, observational study. Setting: Örebro University Hospital, Sweden. Participants: Two cohorts of patients with hip fracture, included in 2008 (n=78) and 2018 (n=76). Measurements: Presence of comorbidity according to the Elixhauser comorbidity measure, multimorbidity defined as ≥3 comorbidities, preoperative American Society of Anaesthesiologists Classification (ASA-class), malnutrition according to the definition by the Global Leadership Initiative on Malnutrition (GLIM), sarcopenia according to the most recently revised definition by the European Working Group on Sarcopenia in Older People (EWGSOP), polypharmacy defined as ≥5 prescribed medications, use of Potentially Inappropriate Medications (PIM) and Fall-Risk-Increasing-Drugs (FRID) and postoperative 1-year mortality. Results: When comparing the cohorts, significant increases over time was seen for mean comorbidity-count (Difference −1; p=0.002), multimorbidity (Difference −15%; 95%CI −27;−2), ASA-class 3–4 (Difference −25%; 95%CI −39;−9) and polypharmacy (Difference −17%; 95%CI −32;−2). Prevalence of malnutrition and sarcopenia coherently decreased with 22% (95%CI 5;37) and 14% (95%CI 1;29) respectively. One-year mortality remained unchanged and a significant association was found for a higher ASA-class in 2008 (OR 3.5, 95%CI 1.1;11.6) when adjusted for age. Results on PIM exposure suggest a decrease while exposure to FRID remained high. Conclusion: Our findings support an increasing morbidity within the population over time. However, also presented is a coherent decrease in malnutrition and sarcopenia, suggesting a decrease in frailty as a possible explanation for the observed unaltered mortality, in turn suggesting advances in treatment of comorbidities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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