The effect of blood albumin and total lymphocyte count on short-term results in elderly patients with hip fractures

Basit Öğe Kaydı
dc.authoridAykut, Serkan/0000-0003-1028-2120
dc.contributor.authorOzturk, Alpaslan
dc.contributor.authorOzkan, Yuksel
dc.contributor.authorAkgoz, Semra
dc.contributor.authorYalcin, Nazan
dc.contributor.authorAykut, Serkan
dc.contributor.authorOzdemir, Mehmet Recai
dc.date.accessioned2025-01-27T20:47:50Z
dc.date.available2025-01-27T20:47:50Z
dc.date.issued2009
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBACKGROUND A study was performed to deter-mine the effects of blood albumin and total lymphocyte count on the postoperative one-year period in 74 elderly hip fracture patients. METHODS In 2006, 74 patients (52 female, 22 male) with hip fracture who were 65 years of age or older were included in the study. Admission albumin levels and total lymphocyte counts were recorded. The outcomes examined were mortality, length of hospital stay and ambulatory ability. Ambulatory ability was assessed according to Parkland and Palmer criteria. RESULTS There were 61 patients aged 65-84 years, and 13 patients aged 85-105 years. Forty-one patients (55.4%) had hypoalbuminemia and 23 patients (31.1%) had low total lymphocyte count. Low albumin and total lymphocyte counts were associated with higher mortality (p=0.011). Patients with low albumin levels had longer length of hospital stay (p=0.002). Patients with normal albumin and total lymphocyte counts had higher mobility score meaning better function (p=0.012). Multivariate analysis yielded that low total lymphocyte count, American Society of Anesthesiologists (ASA) 3-4 and female gender remained significant independent predictors of one-year mortality. No single blood parameter was found to be effective on ambulatory status. CONCLUSION Risk of mortality in elderly hip fracture patients increases with female gender, ASA 3-4 and low total lymphocyte counts. Hypoalbuminemia is associated with longer hospitalization. Identification of these risk factors can help in the case management for a more favorable outcome.
dc.identifier.endpage552
dc.identifier.issn1306-696X
dc.identifier.issue6
dc.identifier.pmid20037871
dc.identifier.startpage546
dc.identifier.urihttps://hdl.handle.net/20.500.12428/25059
dc.identifier.volume15
dc.identifier.wosWOS:000271700400006
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Assoc Trauma Emergency Surgery
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectAmbulatory status
dc.subjecthypoalbuminemia
dc.subjecttotal lymphocyte count
dc.subjectmortality
dc.titleThe effect of blood albumin and total lymphocyte count on short-term results in elderly patients with hip fractures
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu