title: The correlation between preoperative levels of albumin and tlc and mortality in patients with femoral neck fracture.
abstract: A femoral neck fracture in an elderly patient often represents a major challenge for the orthopaedic surgeon who has to face not only the fracture, but also all the multiple issues related to age. Among others, malnutrition has been recognised as an important factor associated with severe aggravation in these patients. One-hundred-and-forty-seven patients were enrolled to investigate the use of two markers of patient nutritional status, i.e. serum albumin level and total leukocyte count (TLC), as predictors of mortality in the elderly patient suffering from proximal femur fracture. We found that low preoperative values of serum albumin and TLC proved to be directly related to worse outcomes. Therefore, these exams can be useful to identify patients with a femoral neck fracture that have higher risk of malnutrition and consequent higher mortality and that can benefit from some measures, such as albumin or protein nutritional supplement.
authors.affiliation: 1st Orthopedic Division, University of Pisa, Pisa, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Niccolai
authors.affiliation: 1st Orthopedic Division, University of Pisa, Pisa, Italy.
authors.forename: P D
authors.initials: PD
authors.lastname: Parchi
authors.affiliation: 1st Orthopedic Division, University of Pisa, Pisa, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Vigorito
authors.affiliation: Geriatric Division, University of Pisa, Pisa, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Pasqualetti
authors.affiliation: Geriatric Division, University of Pisa, Pisa, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Monzani
authors.affiliation: 1st Orthopedic Division, University of Pisa, Pisa, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Lisanti
mesh_terms: D015415:Biomarkers / Q000097:blood / Q000378:metabolism; D019587:Dietary Supplements; D005265:Femoral Neck Fractures / Q000097:blood* / Q000401:mortality* / Q000601:surgery; D006801:Humans; D007958:Leukocyte Count; D009752:Nutritional Status; D012709:Serum Albumin / Q000008:administration & dosage / Q000378:metabolism* / Q000627:therapeutic use
chemical_list: D015415:Biomarkers; D012709:Serum Albumin