Do We Care About Nutritional Support in Patients Hospitalized with a Diagnosis of Femoral Neck Fracture?

Yıl 2022, Cilt: 17 Sayı: 3, 55 - 62, 02.11.2022

Emel Yıldız , Halil Yıldız , Özlem Arık , Filiz.ozyigit Özyiğit

https://doi.org/10.17517/ksutfd.951993

Öz

Abstract

Objective: Femoral neck fractures (FNF) occur in the intracapsular region of the proximal femur. The incidence of fractures in the proximal femur increases with age. FNF’s cause high mortality and morbidity. Malnutrition is also one of the problems of these patients. In this study, it was aimed to reveal the importance of necessary nutritional follow-up in patients hospitalized in our hospital.

Material and Methods: Data of patients hospitalized in Kutahya Health Sciences University Evliya Celebi Training and Research Hospital with a diagnosis of FNF between 2017-2018 were retrospectively scanned from the patient file and the hospital automation system. Two hundred and twenty nine patients were included in the study. Hospitalization diagnosis, age and gender, albumin, C-reactive protein (CRP), and lymphocyte values of the patients were measured.

The nutritional risk score (NRS-2002) made for each patient in the automation system of our hospital was checked. For nutritional support, it was checked whether a consultation was requested from the nutrition support team (NST).

Results: The mean age of the patients included in the study was found to be 74 years. 79.3% were over 65 years old, while 20.97% were under 65. It was determined that 65.1% of the patients had albumin, 24.5% lymphocyte and 88.2% CRP values outside the normal range. There was a statistically significant negative correlation of 41% between the patients albumin and age variable (p<0.05). When looking at NRS-2002, 94.8% was seen as not calculated. NST consultation was not requested from any of the patients.

Conclusion: Considering the perioperative nutritional support of hip fracture patients can reduce morbidity and mortality and improve quality of life. In our study, we revealed the necessity of giving more importance to nutritional support.

Anahtar Kelimeler

femur neck fracture, nutritional risk score, nutritional support team

Femur Boyun Kırığı Tanısı ile Yatan Hastalarda Beslenme Desteğini Önemsiyor muyuz?

Öz

Özet

Amaç: Femur boyun kırıkları (FBK), proksimal femurun intrakapsüler bölgesinde oluşan kırıklardır. Femur proksimalindeki kırıkların insidansı yaşla doğru orantılı olarak artış gösterir. FBK yüksek mortalite ve morbiditeye neden olan kırıklardır. Yetersiz beslenme de bu hastaların sorunlarından biridir. Bu çalışmada FBK nedeni ile hastanemize yatışı yapılan hastalarda gerekli beslenme takibinin öneminin ortaya konulması amaçlandı.

Gereç ve Yöntemler: Kütahya Sağlık Bilimleri Üniversitesi Evliya Çelebi Eğitim ve Araştırma Hastanesi’ne 2017-2018 yılları arasında FBK tanısı ile yatan hastalara ait veriler retrospektif olarak hasta dosyası ve hastane otomasyon sisteminden tarandı. Çalışmaya 229 hasta dâhil edildi. Hastaların yatış tanıları, yaş

ve cinsiyeti, albümin, C-reaktif protein (CRP), lenfosit tahlilleri değerlendirildi. Hastanemiz otomasyon sisteminde her yatan hasta için yapılan nutrisyon risk skorlamasına (NRS-2002) bakıldı. Nutrisyon desteği için, beslenme destek ekibinden (BDE) konsültasyon istenip-istenmediğine bakıldı.

Bulgular: Çalışmaya dâhil edilen hastaların ortalama yaşları 74 olarak bulundu. Hastaların %79.3’ü 65 yaş üstündeyken, %20.97’si 65 yaş altıydı. Hastaların %65.1`inin albümin, %24.5`inin lenfosit, %88.2`sinin ise CRP değeri normal aralıklar dışında olduğu tespit edildi. Hastaların albümin ve yaş değişkeni arasında negatif yönde, istatistiksel açıdan %41`lik anlamlı bir ilişki vardı (p<0.05). NRS-2002`ye bakıldığında ise %94.8`i hesaplanmamış olarak görüldü. Hastaların hiçbirinden BDE›den konsültasyon istenmediği görüldü.

Sonuç: Kalça kırığı hastalarının perioperatif beslenme desteğinin göz önünde bulundurulması hastalarda morbidite ve mortaliteyi azaltıp, yaşam kalitesini iyileştirebilir. Biz, çalışmamızda beslenme desteğine daha çok önem verilmesinin gerekliliğini ortaya koyduk.

Anahtar Kelimeler

femur boyun kırığı, nutrisyonel risk skorlaması, beslenme destek ekibi

Kaynakça

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