Nutritional Considerations in Geriatric Orthopedics

Purpose of Review Malnourished patients are at risk for fragility fractures resulting in postoperative ​complications, increased mortality, and decreased functional status after geriatric orthopedic surgeries. Nutritional status of the older patient can be determined by various screening tools. We a...

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Bibliographic Details
Published in:Current geriatrics reports 2022-09, Vol.11 (3), p.33-39
Main Authors: Youngman, Tyler, Rinehart, Dustin, Sorich, Megan, Oberstar, Jennifer, McCarthy, Teresa
Format: Article
Language:English
Subjects:
Carbohydrates
Fractures
Geriatric Psychiatry (C Quatman and C Quatman-Yates
Geriatrics
Geriatrics/Gerontology
Hip joint
Joint surgery
Length of stay
Malnutrition
Medicine
Medicine & Public Health
Mortality
Neurology
Nutrition
Nutritional status
Older people
Orthopedics
Pain Medicine
Patients
Polypharmacy
Primary care
Psychopharmacology
Recovery (Medical)
Rheumatoid arthritis
Rheumatology
Section Editors
Topical Collection on Geriatric Orthopedics
Trauma
Tumor necrosis factor-TNF
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Summary:Purpose of Review Malnourished patients are at risk for fragility fractures resulting in postoperative ​complications, increased mortality, and decreased functional status after geriatric orthopedic surgeries. Nutritional status of the older patient can be determined by various screening tools. We aim to review recent literature on nutritional status in preoperative and postoperative evaluations and determine its implications for geriatric orthopedic surgery patients. Recent Findings Malnutrition has been associated with increased orthopedic surgery complications. An individualized nutrition screening and treatment plan can reduce these complications and prevent future fragility fractures. Interleukin-6 is an inflammatory cytokine that may be useful in the prediction of mortality and nutritional status of the patient; however, further research is necessary. Summary A nutritional screening tool can be utilized to determine at-risk individuals. Nutrition should ​be optimized prior to undergoing an orthopedic procedure, and an interdisciplinary team approach is recommended.
ISSN:2196-7865
2196-7865
DOI:10.1007/s13670-020-00343-5