Importancia de la malnutrición y otros factores médicos en la evolución de los pacientes con fractura de cadera

Abstract

As the population progressively ages, hip fractures have become increasingly common and are associated with high morbidity and mortality and a pronounced decline in functional status. Hip fractures frequently occur in elderly patients with a high rate of comorbidity and polymedication. Patients hospitalised with hip fractures often display signs of protein malnutrition and may develop medical complications requiring intrahospital care. These factors, more than simply surgical ones, unfavourably influence the vital status and functional outcome of these patients. For this reason, it is necessary to improve the management of pre-existing conditions during hospitalisation, assess and treat malnutrition and prevent medical complications to achieve optimal outcomes for these patients. With this objective, we believe that care should be provided by multidisciplinary teams in close partnership with internists.

Nutritional Status and Nutritional Treatment Are Related to Outcomes and Mortality in Older Adults with Hip Fracture

“…A reduction in intake is often observed in older people, causing it to be lower than requirements [ 57 ]. These changes in intake have a multi-factor origin, among which the most frequent factors are alterations in sensory organs, loss of teeth, lack of a principal caregiver, and, in some cases, the adverse effects of certain drugs [ 62 ]. These intake alterations constitute a well-known geriatric syndrome defined as anorexia of ageing [ 63 ].…”