Formiga Francesc, Chivite David, Mascaró Jordi, Ramón Josep Maria, Pujol Ramón
Geriatric Unit, Internal Medicine Service, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, 08907 Barcelona, Spain.
Aging Clin Exp Res. 2005 Aug;17(4):343-6. doi: 10.1007/BF03324620.
Malnutrition in general and protein deficiency in particular, both upon admission and during the recovery period, may adversely influence the clinical outcome after hip fracture. This study investigates the relationship between nutritional status measured by the Mini-Nutritional Assessment short form (MNA-SF) and biological markers in elderly hip-fractured patients.
A prospective study in a university hospital. The MNA-SF nutritional scale and laboratory values (serum albumin, cholesterol, total lymphocyte count) were assessed within three days after hip fracture surgery.
Seventy-three patients were included: 61 (84%) were women and 12 men. Mean age was 81.5+/-7.1 years. Inhospital mortality was 10%. The mean MNA-SF score was 11+/-0.5 (range 3-14); according to these values, 39 patients (53%) were at risk of malnutrition. MNA-SF scores were not significantly correlated to patients' laboratory values. Fourteen episodes of nosocomial infection were diagnosed in 11 patients, and 6 patients developed pressure ulcers during hospitalization.
MNA-SF test scale values reflect a clinical process in post-operative hip-fractured patients which is different from serum albumin, cholesterol or lymphocyte count.
一般而言，营养不良尤其是蛋白质缺乏，无论在入院时还是恢复期间，都可能对髋部骨折后的临床结局产生不利影响。本研究调查了通过微型营养评定简表（MNA-SF）测量的营养状况与老年髋部骨折患者生物标志物之间的关系。
在一家大学医院进行的前瞻性研究。在髋部骨折手术后三天内评估MNA-SF营养量表和实验室值（血清白蛋白、胆固醇、总淋巴细胞计数）。
纳入73例患者：61例（84%）为女性，12例为男性。平均年龄为81.5±7.1岁。住院死亡率为10%。MNA-SF平均得分为11±0.5（范围3-14）；根据这些值，39例患者（53%）存在营养不良风险。MNA-SF评分与患者的实验室值无显著相关性。11例患者诊断出14次医院感染，6例患者在住院期间发生压疮。
MNA-SF测试量表值反映了髋部骨折术后患者不同于血清白蛋白、胆固醇或淋巴细胞计数的临床过程。
