title: Comparison of the Mini-Nutritional Assessment short and long form and serum albumin as prognostic indicators of hip fracture outcomes.
abstract: BACKGROUND
  Malnutrition is common among older hip fracture patients and associated with adverse outcomes. We examined Mini Nutritional Assessment short (MNA-SF) and long form (MNA-LF) and serum albumin as prognostic indicators of mobility, living arrangements and mortality after hip fracture.
  
  
  METHODS
  Population-based prospective data were collected on 594 hip fracture patients aged 65 and over. MNA-SF, MNA-LF and serum albumin were assessed on admission. Outcomes were poorer mobility; transfer to more assisted living accommodation and mortality one month, four months and one year post fracture. Logistic regression analyses for mobility and living arrangements with odds ratios (OR) and Cox proportional hazards model for mortality with hazard ratios (HR) and 95% confidence intervals (CI) were used, adjusted for age, gender, ASA grade and fracture type.
  
  
  RESULTS
  All measures predicted mortality at all time-points. Risk of malnutrition and malnutrition measured by MNA-LF predicted mobility and living arrangements within four months of hip fracture. At one year, risk of malnutrition predicted mobility and malnutrition predicted living arrangements, when measured by MNA-LF. Malnutrition, but not risk thereof, measured by MNA-SF predicted living arrangements at all time-points. None of the measures predicted one-month mobility.
  
  
  CONCLUSIONS
  All measures were strong indicators of short- and long-term mortality after hip fracture. MNA-LF was superior in predicting mobility and living arrangements, particularly at four months. All measures were relatively poor in predicting short-term outcomes of mobility and living arrangements.
authors.affiliation: Department of Surgical, Seinäjoki Central Hospital, Seinäjoki, Finland. Electronic address: heli.helminen@epshp.fi.
authors.forename: Heli
authors.initials: H
authors.lastname: Helminen
authors.affiliation: Science Center Pirkanmaa Hospital District, Tampere Finland and School of Health Sciences, University of Tampere, Finland.
authors.forename: Tiina
authors.initials: T
authors.lastname: Luukkaala
authors.affiliation: Department of Surgical, Oulu University Hospital, Oulu, Finland.
authors.forename: Juha
authors.initials: J
authors.lastname: Saarnio
authors.affiliation: Department of Geriatric Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland.
authors.forename: Maria
authors.initials: M
authors.lastname: Nuotio
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D005260:Female; D005387:Finland / Q000453:epidemiology; D015577:Geriatric Assessment; D006620:Hip Fractures / Q000453:epidemiology / Q000378:metabolism / Q000534:rehabilitation*; D006801:Humans; D057187:Independent Living; D008297:Male; D044342:Malnutrition / Q000175:diagnosis / Q000453:epidemiology / Q000378:metabolism*; D051346:Mobility Limitation; D015596:Nutrition Assessment; D009749:Nutrition Surveys; D059035:Perioperative Period; D011183:Postoperative Complications / Q000453:epidemiology / Q000378:metabolism*; D015995:Prevalence; D011379:Prognosis; D011446:Prospective Studies; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012307:Risk Factors; D012709:Serum Albumin / Q000378:metabolism*
chemical_list: D012709:Serum Albumin
keywords: Albumin; Hip fracture; MNA; Nutrition