Objective:
Malnutrition is a severe cause of increased morbidity and mortality and decreased functionality and quality of life that can be treated and prevented in the geriatric population. The geriatric nutritional risk index is used to determine the nutritional status of the geriatric population. We evaluated the ability of geriatric nutrition risk index (GNRI) values to predict 90-day complications and mortality in elderly patients with hip fractures. Our study hypothesises that low GNRI values can help predict early complications and mortality.
Materials and Methods:
Patients over 65 years of age were retrospectively included in this study. Age, gender, height, weight, fracture type, hemogram, and routine biochemical values at the time of admission to the hospital, previous trauma history, and hospitalization within 90 days after surgery were evaluated from the patient’s files. Surgical site infection and periprosthetic joint infections that developed in the first 90 days were recorded as early complications.
Results:
The study included 1345 patients with a mean age of 80.27±7.45. The 90-day mortality rate of the patients examined in the study was 10.6%. In addition, when we look at early complications, this rate is 4%. Statistically, although there was no significant relationship between early complications and GNRI (p=0.724), it was found to be significant with mortality (p<0.001).
Conclusion:
In hip fractures with high mortality in the geriatric age group, 90-day mortality can be predicted by GNRI score calculated using albumin, height, and weight values.
Keywords: Geriatric, hip fracture, geriatric nutritional risk index