Prannoy PaulGovernment Medical College, India
Title: Pre-operative hypoalbuminemia as a risk factor for short term mortality and complications following hip fracture surgery
Background : The quality of life often rapidly deteriorates following a hip fracture in the elderly. Factors like serum albumin level at admission, if can be used as a prognostic factor for outcomes, may help the surgeon in decision making regarding type of surgery and type of implant to be used.
Aim & Objectives : The aim of the study was to test if serum albumin level at admission is associated with mortality and complications following hip fracture surgery in the elderly.
Materials & Methods : A prospective observational study was conducted on patients above the age of 60, who underwent surgery for hip fractures during the study period in the department of Orthopaedics, GMC Kannur. Data were collected using a proforma and statistical analysis was done using SPSS software.
Results : A total of 156 patients who underwent surgery for hip fractures during the study period was recruited into the study. The prevalence of hypoalbuminemia was 58.9%. Patients with hypoalbuminemia had significantly higher mortality risk 8.7% compared to 0% (p=0.021 Pearson chi-square test), longer duration of hospital stay- 17.48 days compared to 12.55 days (p =<0.01 Mann Whitney U test), longer duration of ICU stay, increased chances of unplanned intubation (p=0.021 Pearson chi-square test) and requirement for multiple blood transfusions (p <0.001 Mann Whitney U test).
Conclusions: Serum albumin level at admission is an independent prognostic factor for predicting mortality and complications following hip fracture surgery in the elderly age group.
Prannoy Paul has completed his Masters in Orthopedic and Trauma surgery from the Kerala University of Health Sciences, India. He is currently working at Department of Orthopedics and Trauma, Government Medical College, Kannur, India. He has published several academic papers with numerous citations and a high h-index. He is also serving as editorial member of multiple journals.