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KMID : 0123520170240020067
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Journal of muscle and joint health
2017 Volume.24 No. 2 p.67 ~ p.76
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Preoperative Nutritional Status in Elderly Orthopedic Surgery Patients : Evaluation and Related Factors
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Jang In-Sil
Kim Min-Young
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Abstract
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Purpose: The purpose of this study was to evaluate preoperative nutritional status in elderly patients with orthopedic surgery and identify related factors for malnutrition risk.
Methods: This study enrolled 337 patient’s medical record who underwent orthopedic surgery in hospital between January and December 2015. Data was collected retrospectively. Nutritional status was evaluated by using the Nutritional Risk Screening 2002. Multivariable logistic regression analysis was used to identify independent related factors for malnutrition risk.
Results: Malnutrition risk developed in 58 patients (17.2%). Logistic regression analysis identified low physical activity, visual impairment, depression, sleep disorder, low serum calcium level, and low serum albumin level as related factors.
Conclusion: Orthopedic surgery in elderly patients was associated with high risk of preoperative malnutrition. The results of this study suggest that evaluating the nutritional status and related factors should be done with preoperative status of elderly patients. At the same time, interventions for nutritional care should be adjusted to meet the nutritional needs of individuals and decrease the risk of malnutrition.
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KEYWORD
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Nutritional status, Elderly, Orthopedics, Surgery, Malnutrition
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