Back to Journals » Clinical Interventions in Aging » Volume 15

Gender and Low Albumin and Oxygen Levels are Risk Factors for Perioperative Pneumonia in Geriatric Hip Fracture Patients

Authors Wang X, Dai L, Zhang Y, Lv Y

Received 10 December 2019

Accepted for publication 7 March 2020

Published 19 March 2020 Volume 2020:15 Pages 419—424


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Prof. Dr. Zhi-Ying Wu

Xiaoyan Wang,1 Li Dai,1 Yunjian Zhang,1 Yanwei Lv2

1Department of Respiratory Medicine, Beijing Jishuitan Hospital, Beijing, People’s Republic of China; 2Clinical Epidemiology Research Center, Beijing Jishuitan Hospital, Beijing, People’s Republic of China

Correspondence: Xiaoyan Wang Email [email protected]

Introduction: Pneumonia is a serious complication following hip fracture and is the primary risk factor for 30-day mortality after surgery. Modifying several laboratory factors may improve the outcomes of fragile hip fracture patients who are 80 years or older.
Purpose: To investigate several adjustable factors for perioperative pneumonia in order to improve patient prognosis and reduce mortality.
Patients and Methods: We retrospectively reviewed in-hospital hip fracture data from patients who were 80 years or over between January 1, 2014, and November 31, 2014, from Beijing Jishuitan Hospital. Patients were divided into two groups: perioperative pneumonia (POP) group and non-perioperative pneumonia (non-POP) group. Logistic regression models were used to identify independent risk factors. Statistical significance was set at 5% (p< 0.05).
Results: The incidence of perioperative pneumonia (POP) in patients 80 years and older was 11.3% (33/293). Male patients had a higher incidence of POP (20/96 cases, 20.83%) compared to females (13/197, 6.6%)(P< 0.001). Higher neutrophilic granulocyte percentages (78.148%± 9.162% in POP vs 81.959%± 6.142% in Non-POP, P=0.033) and lower albumin levels (χ2=2.25, P=0.039) were observed in the POP group at baseline. After multivariate logistic regression, we observed that males (OR=3.402, P=0.048), lower albumin levels (OR=10.16, P=0.001) and PaO2 levels (OR=2.916, P=0.007) were independent risk factors for POP.
Conclusion: Low albumin and oxygen levels and the male gender were risk factors for perioperative pneumonia in geriatric hip fracture patients.

Keywords: hip fracture, pneumonia, elderly, perioperative, male, hypoalbuminemia, arterial blood gas analysis

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]