정형외과 수술 노인의 수술 전 영양상태 평가 및 관련 요인
Preoperative Nutritional Status in Elderly Orthopedic Surgery Patients: Evaluation and Related Factors
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Purpose: The purpose of this study was to evaluate preoperative nutritional status in elderly patients with orthopedic surgeryand identify related factors for malnutrition risk. Methods: This study enrolled 337 patient’s medical record who underwentorthopedic surgery in hospital between January and December 2015. Data was collected retrospectively. Nutritionalstatus was evaluated by using the Nutritional Risk Screening 2002. Multivariable logistic regression analysis was usedto 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 calciumlevel, and low serum albumin level as related factors. Conclusion: Orthopedic surgery in elderly patients was associatedwith high risk of preoperative malnutrition. The results of this study suggest that evaluating the nutritional statusand related factors should be done with preoperative status of elderly patients. At the same time, interventions for nutritionalcare should be adjusted to meet the nutritional needs of individuals and decrease the risk of malnutrition.
Abstract
Purpose: The purpose of this study was to evaluate preoperative nutritional status in elderly patients with orthopedic surgeryand identify related factors for malnutrition risk. Methods: This study enrolled 337 patient’s medical record who underwentorthopedic surgery in hospital between January and December 2015. Data was collected retrospectively. Nutritionalstatus was evaluated by using the Nutritional Risk Screening 2002. Multivariable logistic regression analysis was usedto 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 calciumlevel, and low serum albumin level as related factors. Conclusion: Orthopedic surgery in elderly patients was associatedwith high risk of preoperative malnutrition. The results of this study suggest that evaluating the nutritional statusand related factors should be done with preoperative status of elderly patients. At the same time, interventions for nutritionalcare should be adjusted to meet the nutritional needs of individuals and decrease the risk of malnutrition.
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