title: Preoperative albumin as a predictor of one-year mortality in patients with fractured neck of femur.
abstract: A simple measure to determine one-year mortality following hip fractures has its benefits. Where there is controversy over implant selection, such a scoring system can facilitate the decision-making process. We undertook a retrospective analysis of one-year postoperative mortality of our hip fracture patients and established their admission serum albumin levels to see if there was any correlation between this and one-year mortality. Our results showed one-year mortality was significantly higher (p =0.0049) for those patients with a serum albumin of <35 g/dl. Of the patients with low albumin, we found that there was no statistical significance between one-year mortality and source of admission (p =0.0789). Prefracture serum albumin can be used as a simple predictor of one-year mortality in patients presenting with a fractured neck of femur, thereby aiding operative planning and implant selection with a view to likely survival and possible need for revision.
authors: Portsmouth Hospitals NHS Trust, UK. willkieffer@gmail.com
authors: W K M
authors: WK
authors: Kieffer
authors: C S
authors: CS
authors: Rennie
authors: A J
authors: AJ
authors: Gandhe
mesh_terms: D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000401:mortality; D015415:Biomarkers / Q000097:blood; D005260:Female; D005265:Femoral Neck Fractures / Q000097:blood / Q000401:mortality* / Q000601:surgery; D006801:Humans; D008297:Male; D018579:Patient Selection; D011300:Preoperative Care / Q000401:mortality; D012189:Retrospective Studies; D012709:Serum Albumin / Q000378:metabolism*
chemical_list: D015415:Biomarkers; D012709:Serum Albumin