Meta-analysis of risk factors for perioperative malnutrition among aged fracture patients
10.3760/cma.j.cn115682-20230817-00570
- VernacularTitle:老年骨折患者围手术期营养不良危险因素的Meta分析
- Author:
Zhiqiang HE
1
;
Wenbin WU
;
Zihan LIN
;
Jin LI
;
Jing WANG
;
Xiaoling ZHOU
;
Huifang ZHANG
Author Information
1. 西安交通大学医学部护理学系，西安 710061
- Keywords:
Aged;
Fracture;
Perioperative;
Malnutrition;
Meta-analysis;
Risk factor
- From:
Chinese Journal of Modern Nursing
2024;30(20):2743-2750
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the risk factors for perioperative malnutrition in aged fracture patients.Methods:A comprehensive search of databases including CNKI, WanFang, VIP, SinoMed, Web of Science, Embase, PubMed, and CINAHL was conducted to identify relevant studies on risk factors for perioperative malnutrition in aged fracture patients from inception to May 10, 2023. Additional grey literature was identified by snowball sampling and manual searches. Two postgraduate students trained in evidence-based nursing independently screened the literature, extracted data, and assessed the methodological quality of the studies. Meta-analysis was performed using RevMan 5.4 software.Results:Fourteen original studies were included, covering 46 risk factors for malnutrition. Meta-analysis of factors reported in at least two studies indicated that age≥ 70 years, low body mass index, low hemoglobin, preoperative hypoalbuminemia, female, physical inactivity, non-home residence, low self-care ability, intertrochanteric fracture, chronic obstructive pulmonary disease, chronic gastritis, dementia/cognitive decline, cancer, stroke, chronic heart failure, multiple chronic diseases, high Charlson Comorbidity Index, weight loss, depression, American Society of Anesthesiologists classification≥Ⅲ, taking multiple medications≥ 4 types, and longer hospital stays all increased the incidence of perioperative malnutrition in aged fracture patients ( P< 0.05) . Conclusions:The incidence of perioperative malnutrition in the aged fracture population is high and influenced by multiple factors. This highlights the need for healthcare providers to conduct dynamic and precise nutritional screenings for high-risk patients and to implement personalized perioperative nutritional management to prevent malnutrition and promote rapid recovery in aged fracture patients.
