RT Journal Article
T1 Global subjective assessment and mini nutritional assessment short form better predict mortality than GLIM malnutrition criteria in elderly patients with hip fracture
A1 Sánchez-Torralvo, Francisco José
A1 Pérez-del-Río, Verónica
A1 García-Olivares, María
A1 Porras, Nuria
A1 Abuín-Fernández, José
A1 Bravo-Bardají, Manuel Francisco
A1 García-de-Quevedo-Puerta, David
A1 Olveira-Fuster, Gabriel María
K1 Cadera - Fracturas - Complicaciones y secuelas
K1 Ancianos dependientes - Alimentación
K1 Ancianos dependientes - Mortalidad
K1 Malnutrición - Mortalidad
K1 Nutrición - Evaluación
AB The objective of our study is to determine the prevalence of malnutrition in elderly patients with fragility hip fractures through different diagnostic tools and to determine which nutritional assessment tool better predicts mortality. Methods: This is a prospective study in patients over 65 years of age hospitalized with a diagnosis of hip fracture. A nutritional assessment was performed using several tools: the Mini Nutritional Assessment Short Form (MNA-SF), the Subjective Global Assessment (SGA), and the GLIM criteria. For the definition of low muscle mass, four different methods were used: hand grip strength (HGS), calf circumference (CC), anthropometry, and bioelectrical impedance (BIA). Mortality was registered at three, six and twelve months. Results: 300 patients were included, 79.3% female, mean age 82.9 ± 7.1 years. The MNA-SF found 42% at risk of malnutrition, and 37.3% malnourished. Using SGA, there were 44% with moderate malnutrition, and 21.7% with severe malnutrition. In application of the GLIM criteria, 84.3%, 47%, 46%, and 72.7% of patients were malnourished when HGS, anthropometry, BIA, and CC were used, respectively. Mortality was 10%, 16.3% and 22% at 3, 6 and 12 months, respectively. In malnourished patients according to MNA-SF, mortality was 5.7 times greater [95%CI 1.3–25.4; p = 0.022] at 6 months and 3.8 times greater [95%CI 1.3–11.6; p = 0.018] at 12 months. In malnourished patients according to SGA, mortality was 3.6 times greater [95%CI 1.02–13.04; p = 0.047] at 3 months, 3.4 times greater [95%CI 1.3–8.6; p = 0.012] at 6 months and 3 times greater [95%CI 1.35–6.7; p = 0.007] at 12 months. Conclusion: The prevalence of malnutrition in patients admitted for fragility hip fracture is high. The SGA and MNA-SF are postulated as adequate tools to diagnose malnutrition in these patients, with predictive value for mortality at three, six, and twelve months.
PB MDPI
YR 2023
FD 2023-04-10
LK https://hdl.handle.net/10630/26999
UL https://hdl.handle.net/10630/26999
LA eng
NO Sánchez-Torralvo FJ, Pérez-del-Río V, García-Olivares M, Porras N, Abuín-Fernández J, Bravo-Bardají MF, García-de-Quevedo D, Olveira G. Global Subjective Assessment and Mini Nutritional Assessment Short Form Better Predict Mortality Than GLIM Malnutrition Criteria in Elderly Patients with Hip Fracture. Nutrients. 2023; 15(8):1828. https://doi.org/10.3390/nu15081828
NO This study was partially funded by an unrestricted grant from Abbott Laboratories (Spain).Partial funding for open access charge: Universidad de Málaga
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 21 ene 2026