{rfName}
Pr

Indexed in

License and use

Citations

75

Altmetrics

Analysis of institutional authors

Alarcón TAuthorMenéndez-Colino RAuthorGonzalez-Montalvo JiAuthor

Share

Publications
>
Article

Prevalence of malnutrition in a cohort of 509 patients with acute hip fracture: the importance of a comprehensive assessment.

Publicated to:EUROPEAN JOURNAL OF CLINICAL NUTRITION. 72 (1): 77-81 - 2018-01-01 72(1), DOI: 10.1038/ejcn.2017.72

Authors: de Bustamante, M Diaz; Alarcon, T; Menendez-Colino, R; Ramirez-Martin, R; Otero, A; Gonzalez-Montalvo, J I

Affiliations

Hosp Univ La Paz, Geriatr Dept, Paseo Castellana 261, Madrid 28046, Spain - Author
La Paz Univ Hosp, Res Inst, IdiPAZ, Madrid, Spain - Author
Reticef, Barcelona, Spain - Author
Univ Autonoma Madrid, Prevent Med Dept, Madrid, Spain - Author

Abstract

Backgrounds/objectives:Malnutrition is very common in acute hip fracture (HF) patients. Studies differ widely in their findings, with reported prevalences between 31 and 88% mainly because of small sample sizes and the use of different criteria. The aim of this study was to learn the prevalence of malnutrition in a large cohort of HF patients in an comprehensive way that includes the frequency of protein-energy malnutrition, vitamin D deficiency and sarcopenia.A 1-year consecutive sample of patients admitted with fragility HF in a 1300-bed public University Hospital, who were assessed within the first 72?h of admission. Clinical, functional, cognitive and laboratory variables were included. Energy malnutrition (body mass index (BMI) <22?kg/m2), protein malnutrition (serum total protein <6.5?g/dl or albumin <3.5?g/dl), vitamin D deficiency (serum 25-OH-vitamin D <30?ng/dl) and sarcopenia (low muscle mass plus low grip strength) were considered.Five hundred nine HF patients were included. The mean age was 85.6±6.9 years and 79.2% were women. Ninety-nine (20.1%) patients had a BMI <22?kg/m2. Four hundred nine patients (81.2%) had protein malnutrition. Eighty-seven (17.1%) patients had both energy and protein malnutrition. Serum vitamin D was <30?ng/ml in 466 (93%) patients. The prevalence of sarcopenia was 17.1%.Protein malnutrition and vitamin D deficiency are the rule in acute HF patients. Energy malnutrition and sarcopenia are also common. A nutritional assessment in these patients should include these aspects together.

Keywords

Acute diseaseAgedAged, 80 and overBody mass indexCohort studiesElder nutritional physiological phenomenaFemaleGeriatric assessmentHip fracturesHospitals, universityHumansLost to follow-upMaleMalnutritionNutrition assessmentPrevalenceProtein-energy malnutritionRiskSarcopeniaSpainThinnessVitamin d deficiency

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal EUROPEAN JOURNAL OF CLINICAL NUTRITION due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2018, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Medicine (Miscellaneous).

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 1.2. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Weighted Average of Normalized Impact by the Scopus agency: 2.02 (source consulted: FECYT Feb 2024)
  • Field Citation Ratio (FCR) from Dimensions: 6.37 (source consulted: Dimensions Jun 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-06-24, the following number of citations:

  • WoS: 28
  • Scopus: 33
  • Europe PMC: 14
  • OpenCitations: 30

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-24:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 99.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 99 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 9.2.
  • The number of mentions on the social network Facebook: 1 (Altmetric).
  • The number of mentions on the social network X (formerly Twitter): 11 (Altmetric).