Malnutrition and heart failure had an additive negative effect on rehabilitation effectiveness in elderly hip fracture patients (28.5% with both vs 64.8% with neither).
Cohort (n=155)
Do malnutrition and heart failure have an additive negative effect on rehabilitation effectiveness in patients with hip fracture?
Malnutrition and heart failure are independently associated with reduced rehabilitation effectiveness and have an additive negative effect on ADL improvement in elderly patients with hip fractures.
Tasa de eventos absoluta: 28.5% vs 64.8%
BACKGROUND high GNRI-high BNP (≥100 pg/ml) group (n = 7); low GNRI (<92)-low BNP group (n = 67); and low GNRI-high BNP group (n = 27). The main outcome was rehabilitation effectiveness (REs). To confirm above hypothesis, heart failure was also assessed by American College of Cardiology/American Heart Association (ACC/AHA) stage classification, whereas nutrition was assessed by Mini Nutritional Assessment Short Form (MNA-SF), either. RESULTS: REs in the high GNRI-low BNP group, high GNRI-high BNP group, low GNRI-low BNP group, and low GNRI-high BNP group were 64.8 ± 22.6%, 36.0 ± 22.0%, 40.6 ± 23.6% and 28.5 ± 25.9%, respectively. REs was higher in the high GNRI-low BNP group than in other three groups, and REs in the low GNRI-low BNP group was higher than in the low GNRI-high BNP group. When we evaluated heart failure by ACC/AHA stage classification instead of BNP, or evaluated nutrition by MNA-SF instead of GNRI, the similar results were demonstrated. Multiple linear regression analyses revealed that age (p < 0.01), handgrip strength (p < 0.01), GNRI (p < 0.05), and BNP (p < 0.01) were significantly associated with REs. CONCLUSIONS: These results suggest that malnutrition and heart failure are independently associated with REs and that they have an additive negative effect on improvement of ADL in elderly patients with hip fractures.
Tamamura et al. (Mon,) conducted a cohort in hip fracture (n=155). Malnutrition and heart failure vs. Absence of malnutrition and heart failure was evaluated on rehabilitation effectiveness (REs). Malnutrition and heart failure had an additive negative effect on rehabilitation effectiveness in elderly hip fracture patients (28.5% with both vs 64.8% with neither).