Relationship between mortality and HALP score in femoral neck fractures treated with hemiarthroplasty.

IF 1.9 Q2 ORTHOPEDICS
Fatih Tahak, Haluk Yaka, Alper Kırılmaz, Ahmet Fevzi Kekeç, Tahsin Sami Çolak, Mustafa Özer
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引用次数: 0

Abstract

Objectives: This study aims to investigate the predictive value of the Hemoglobin, Albumin, Lymphocyte, and Platelet (HALP) score for six-month mortality in patients undergoing hemiarthroplasty for femoral neck fractures (FNFs).

Patients and methods: Between March 2019 and March 2022, a total of 60 patients (32 males, 28 females; mean age: 83.2±6.3 years; range, 67 to 95 years) who underwent hemiarthroplasty for FNFs were retrospectively analyzed. Complete blood count and albumin levels were analyzed in venous blood samples at the time of hospital admission. The neutrophil/lymphocyte ratio (NLR), monocyte/lymphocyte ratio (MLR), platelet/lymphocyte ratio (PLR), prognostic nutritional index (PNI), systemic immune-inflammation index (SII), and HALP scores were calculated. The six-month mortality rates of the patients were recorded.

Results: At six-month follow-up, 22 (36.6%) patients died and 38 (63.4%) survived. In logistic regression analysis, only HALP score was found to be associated with six-month mortality independently of other parameters (p=0.001 odds ratio [OR]=1.09, 95% confidence interval [CI]: 1.06-1.13). The six-month survival increased 1.09-fold for each unit increase in HALP score. In the receiver operating characteristics (ROC) curve analysis, the HALP score showed 71.1% sensitivity and 72.7% specificity using a cut-off value of 19.95 (area under the curve [AUC]: 0.804, 95% CI: 0.687-0.921).

Conclusion: Our study results show that low HALP score is associated with six-month mortality in this patient group. Based on these findings, we suggest that the clinical use of the HALP score as a prognostic marker in hip fracture patients.

Abstract Image

Abstract Image

半关节置换术治疗股骨颈骨折患者死亡率与HALP评分的关系。
目的:本研究旨在探讨血红蛋白、白蛋白、淋巴细胞和血小板(HALP)评分对股骨颈骨折(FNFs)半关节置换术患者6个月死亡率的预测价值。患者与方法:2019年3月~ 2022年3月,共60例患者(男32例,女28例;平均年龄:83.2±6.3岁;我们回顾性分析了67 - 95岁的FNFs患者。在入院时分析静脉血样本的全血细胞计数和白蛋白水平。计算中性粒细胞/淋巴细胞比值(NLR)、单核细胞/淋巴细胞比值(MLR)、血小板/淋巴细胞比值(PLR)、预后营养指数(PNI)、全身免疫炎症指数(SII)和HALP评分。记录患者的6个月死亡率。结果:随访6个月,死亡22例(36.6%),存活38例(63.4%)。在logistic回归分析中,发现只有HALP评分与6个月死亡率相关,独立于其他参数(p=0.001)(优势比[OR]=1.09, 95%可信区间[CI]: 1.06-1.13)。HALP评分每增加1个单位,6个月生存率增加1.09倍。在受试者工作特征(ROC)曲线分析中,HALP评分的敏感性为71.1%,特异性为72.7%,截止值为19.95(曲线下面积[AUC]: 0.804, 95% CI: 0.687-0.921)。结论:我们的研究结果表明,低HALP评分与该患者组6个月死亡率相关。基于这些发现,我们建议临床使用HALP评分作为髋部骨折患者的预后指标。
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CiteScore
2.50
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