No correlation between Mini-Nutritional Assessment (short form) scale and clinical outcomes in 73 elderly patients admitted for hip fracture

Abstract

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.

Evaluation of commonly used nutritional assessment methods in hip fracture patients

“…Regarding our findings, s-chol was significantly lower in the hip fracture patients than in the control group, consistent with previous research studies 26,27 . The lower levels of s-chol in hip fracture patients compared to controls, support the hypothesis that hip fracture patients are more likely to be malnourished than healthy controls.…”

Preoperative Nutrition Status and Postoperative Outcome in Elderly General Surgery Patients

“…Three studies used total lymphocyte count (TLC) as a preoperative predictor. In 1 study, TLC was a significant predictor of postoperative complications (pressure ulcers, P = .02 17 ) but not in 3 studies (complications in general, 16 , 19 nosocomial infections 17 ).…”

“…In the study by Koval et al, 16 serum albumin was not found to be predictive of complications in general. In contrast, however, the other 3 studies showed that low serum albumin significantly predicted postoperative complications (complications in general, P = .019 19 ; nosocomial infections, P = .008 17 ; pressure ulcers, P = .008 17 ; delirium, P = .02 18 ). Koval et al 16 defined low serum albumin as serum albumin <35 g/L, Formiga et al 17 and Ganai et al 18 as serum albumin <30 g/L, and Bozzetti et al 19 as serum albumin ≤30 g/L.…”

“…No significance was reported for cholesterol (nosocomial infections and pressure ulcers 17 ), Mini‐Nutrition Assessment–Short Form (MNA‐SF; nosocomial infections and pressure ulcers 17 ), hemoglobin (Hb; complications in general 19 ), and intake of energy, protein, iron, zinc, copper, vitamin A, vitamin C, or folic acid (pressure ulcers 20 ).…”

Effects of Oral Nutritional Supplements in Normally Nourished or Mildly Undernourished Geriatric Patients After Surgery for Hip Fracture: A Randomized Clinical Trial

“…24,25 In conceptual agreement, it has been shown that postoperative serum albumin levels are not well correlated with the nutrition state of patients after surgery for hip fracture. 26 However, serum albumin is an independent prognostic factor in hip fracture patients, both preoperatively 27 and also at discharge, 28 on the rehabilitation outcome after surgical repair, and therefore, a beneficial effect of ONS on albumin increase after surgery may be of clinical interest.…”