Nutrition and Vitamin Deficiencies Are Common in Orthopaedic Trauma Patients

Macro- and micronutrients play important roles in the biological wound-healing pathway. Although deficiencies may potentially affect orthopaedic trauma patient outcomes, data on nutritional deficiencies in orthopaedic trauma patients remain limited in the literature. The purpose of this study was to...

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Autores principales:	Jordan E. Handcox, Jose M. Gutierrez-Naranjo, Luis M. Salazar, Travis S. Bullock, Leah P. Griffin, Boris A. Zelle
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	orthopaedic trauma nutritional deficiencies vitamins lower extremity wound complications nutrition wound healing Medicine R
Acceso en línea:	https://doaj.org/article/5923a68a1c4b41eeb2bcfe3bd1a98d90
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spelling	oai:doaj.org-article:5923a68a1c4b41eeb2bcfe3bd1a98d902021-11-11T17:38:32ZNutrition and Vitamin Deficiencies Are Common in Orthopaedic Trauma Patients10.3390/jcm102150122077-0383https://doaj.org/article/5923a68a1c4b41eeb2bcfe3bd1a98d902021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5012https://doaj.org/toc/2077-0383Macro- and micronutrients play important roles in the biological wound-healing pathway. Although deficiencies may potentially affect orthopaedic trauma patient outcomes, data on nutritional deficiencies in orthopaedic trauma patients remain limited in the literature. The purpose of this study was to (1) evaluate the prevalence of macro- and micronutrient deficiencies in orthopaedic trauma patients with lower extremity fractures and (2) evaluate the impact of such deficiencies on surgical site complications. This retrospective study identified 867 patients with lower extremity fractures treated with surgical fixation from 2019 to 2020. Data recorded included albumin, prealbumin, protein, vitamins A/C/D, magnesium, phosphorus, transferrin and zinc, as well as wound complications. Nutritional deficiencies were found for prealbumin, albumin and transferrin at 50.5%, 23.4% and 48.5%, respectively. Furthermore, a high prevalence of micronutrient deficiencies (vitamin A, 35.4%; vitamin C, 54.4%; vitamin D, 75.4%; and zinc, 56.5%) was observed. We also recorded a statistically significant difference in wound complications in patients who were deficient in prealbumin (21.6% vs. 6.6%, <i>p</i> = 0.0142) and vitamin C (56.8% vs. 28.6%, <i>p</i> = 0.0236). Our study outlines the prevalence of nutritional deficiencies in an orthopaedic trauma population and identifies areas for possible targeted supplementation to decrease wound complications.Jordan E. HandcoxJose M. Gutierrez-NaranjoLuis M. SalazarTravis S. BullockLeah P. GriffinBoris A. ZelleMDPI AGarticleorthopaedic traumanutritional deficienciesvitaminslower extremitywound complicationsnutrition wound healingMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5012, p 5012 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	orthopaedic trauma nutritional deficiencies vitamins lower extremity wound complications nutrition wound healing Medicine R
spellingShingle	orthopaedic trauma nutritional deficiencies vitamins lower extremity wound complications nutrition wound healing Medicine R Jordan E. Handcox Jose M. Gutierrez-Naranjo Luis M. Salazar Travis S. Bullock Leah P. Griffin Boris A. Zelle Nutrition and Vitamin Deficiencies Are Common in Orthopaedic Trauma Patients
description	Macro- and micronutrients play important roles in the biological wound-healing pathway. Although deficiencies may potentially affect orthopaedic trauma patient outcomes, data on nutritional deficiencies in orthopaedic trauma patients remain limited in the literature. The purpose of this study was to (1) evaluate the prevalence of macro- and micronutrient deficiencies in orthopaedic trauma patients with lower extremity fractures and (2) evaluate the impact of such deficiencies on surgical site complications. This retrospective study identified 867 patients with lower extremity fractures treated with surgical fixation from 2019 to 2020. Data recorded included albumin, prealbumin, protein, vitamins A/C/D, magnesium, phosphorus, transferrin and zinc, as well as wound complications. Nutritional deficiencies were found for prealbumin, albumin and transferrin at 50.5%, 23.4% and 48.5%, respectively. Furthermore, a high prevalence of micronutrient deficiencies (vitamin A, 35.4%; vitamin C, 54.4%; vitamin D, 75.4%; and zinc, 56.5%) was observed. We also recorded a statistically significant difference in wound complications in patients who were deficient in prealbumin (21.6% vs. 6.6%, <i>p</i> = 0.0142) and vitamin C (56.8% vs. 28.6%, <i>p</i> = 0.0236). Our study outlines the prevalence of nutritional deficiencies in an orthopaedic trauma population and identifies areas for possible targeted supplementation to decrease wound complications.
format	article
author	Jordan E. Handcox Jose M. Gutierrez-Naranjo Luis M. Salazar Travis S. Bullock Leah P. Griffin Boris A. Zelle
author_facet	Jordan E. Handcox Jose M. Gutierrez-Naranjo Luis M. Salazar Travis S. Bullock Leah P. Griffin Boris A. Zelle
author_sort	Jordan E. Handcox
title	Nutrition and Vitamin Deficiencies Are Common in Orthopaedic Trauma Patients
title_short	Nutrition and Vitamin Deficiencies Are Common in Orthopaedic Trauma Patients
title_full	Nutrition and Vitamin Deficiencies Are Common in Orthopaedic Trauma Patients
title_fullStr	Nutrition and Vitamin Deficiencies Are Common in Orthopaedic Trauma Patients
title_full_unstemmed	Nutrition and Vitamin Deficiencies Are Common in Orthopaedic Trauma Patients
title_sort	nutrition and vitamin deficiencies are common in orthopaedic trauma patients
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/5923a68a1c4b41eeb2bcfe3bd1a98d90
work_keys_str_mv	AT jordanehandcox nutritionandvitamindeficienciesarecommoninorthopaedictraumapatients AT josemgutierreznaranjo nutritionandvitamindeficienciesarecommoninorthopaedictraumapatients AT luismsalazar nutritionandvitamindeficienciesarecommoninorthopaedictraumapatients AT travissbullock nutritionandvitamindeficienciesarecommoninorthopaedictraumapatients AT leahpgriffin nutritionandvitamindeficienciesarecommoninorthopaedictraumapatients AT borisazelle nutritionandvitamindeficienciesarecommoninorthopaedictraumapatients
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Nutrition and Vitamin Deficiencies Are Common in Orthopaedic Trauma Patients

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