Abstract:

Aim: The incidence of adverse postoperative outcomes in surgeries for femur fractures is high and is associated with malnutrition. In this study, it was aimed to determine the independent factors for 6-month survival in patients with femur fracture and to evaluate the predictive value of the prognostic nutrition index (PNI). Material and Method: One hundred and sixteen patients operated on only for femoral fracture were divided into survival and non-survival groups according to mortality.Demographic characteristics of the patients, operation data, fracture sites, need for intensive care unit and length of stay, postoperative hospital stay, and preoperative laboratory values, prognostic nutrition indices and mortality were evaluated. Results: Twenty-six (22.4%) of 116 patients who were operated for femoral fracture resulted in 6-month mortality. CRP, albumin, prealbumin, crp/albumin ratio and PNI values at admission were independent risk factors for postoperative mortality (p=0.014, p<0.001, p=0.041, p=0.003, p<0.001). The optimal cut-off value for PNI was determined as 29.0. In the group with PNI>29.0, survival rates were found to be higher at the end of the 1st, 3rd and 6th months (94.2%, 89.5%, 89.5%). Conclusion: Nutritional indices should be evaluated when patients with femoral fractures are admitted to the hospital. A low prognostic nutritional index may a predict mortality in patients with femoral fractures.

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