Effects of serum albumin, hemoglobin levels and lymphocyte counts on the prognosis of elderly patients after hip fracture surgery
JI Muqiang
XIONG Changsheng
WENG Tiancai
ZHENG Hong
XU Daxing
Abstract：Objective To investigate the effects of serum albumin, hemoglobin levels and lymphocyte counts on the prognosis of elderly patients after hip fracture surgery. Methods Clinical data of 86 elderly patients with unilateral hip fracture treated surgically in Sanshui Hospital of Foshan Hospital of Chinese Traditional Medicine from April 2010 to April 2013 were analyzed retrospectively. Patients were divided into survival group (n = 79) and death group (n = 7) according to the prognosis condition after one year's follow-up. Serum albumin, hemoglobin levels and lymphocyte counts at admission date were compared between two groups, and the differences of mortality rates were analyzed between patients at normal levels and abnormal levels in serum. Results In survival group, levels of serum albumin and hemoglobin at admission date were higher than those in death group (P <0.05), while lymphocyte counts had no statistical differences between two groups (P >0.05). Mortality rates in patients with nomal serum albumin and hemoglobin levels were lower than those in patients with abnormal levels (P <0.05); while there were no statistical differences of mortality rates between patients with normal and abnormal lymphocyte counts (P >0.05). Multiple logistic regression analysis showed that low levels of serum albumin and hemoglobin were the major risks of mortality for elderly patients undergoing hip fracture surgery (P <0.05). Conclusions Serum albumin and hemoglobin levels have significant influences on the prognosis of elderly patients after hip fracture surgery, as a result, the parameters could be used as important indexes for prognosis evaluation.
Keywords：Hip fractureAlbuminsHemoglobinsLymphocyte countNutrition assessmentPrognosisAged
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 144-148 )