Volume : VI, Issue : X, October - 2016

Predictor Parameters of One Year Mortality in Elderly Patients with Intertrochantric Femur Fractures.

Dr. Pathik C Vala, Dr Ajay Devda, Dr Mehul Vardey, Dr Sachin Kale, Dr Rakesh Goyal

Abstract :

 Background and Objectives: The purpose of this study was to investigate the contributing value of the nutrition related blood parameters to one year mortality intertrochantric fracture surgery in a Indian population over the age of 65. Methods and Study design: Nutritional status was evaluated by using admission serum albumin and total lymphocyte count(TLC).One hundred and seventy four intertrochantric fracture patients were entered into this study for nutritional status assessment.Gender differences were evaluated by univariate analysis. The predictive value of the variables for one year mortality was assessed by multiple logistic regression analysis. Results: The mean albumin was 3.1 mg/dl with 73% of patients less than 3.5mg/dl and the mean TLC was 1.19*109 cells/L with 81% less than 1.50*109 cells/l. There was no significant differences in albumin(p=0.674) or TLC (p=0.804) between men and women. Survival information was obtained in 88 patients who received surgical treatment. The general one year mortality was 31% with 35% in men and 29% in women, respectively. The surviving patients were younger and had higher albumin, TLC and calcium than those who died. However multivariate analysis identified only serum albumin and TLC as independent and significant risk factors associated with one year mortality, the optimal cut offpoints were 2.95 g/L and 0.93*109 cells/L respectively. Conclusions: Malnutrition is a common phenomenon in the aged Indian population suffering from intertrochantric fractures. A lower serum albumin level and total lymphocyte count at admission are significant risk factors to predict the one–year mortality

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.Pathik C Vala, Dr Ajay Devda, Dr Mehul Vardey, Dr Sachin Kale, Dr Rakesh Goyal Predictor Parameters of One Year Mortality in Elderly Patients with Intertrochantric Femur Fractures. Indian Journal of Applied Research,Volume : 6 | Issue : 10 | October 2016

Number of Downloads : 429

References :

<p><p><pre></pre></p></p>