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Background:

Serum albumin level is the most well-established serum marker of malnutrition, with a serum albumin concentration< 3.5 g/dL considered to be suggestive of malnutrition. The purpose of this study was to test if serum albumin level is associated with death, specific postoperative complications (eg, pneumonia), length of hospital stay, and readmission following a surgical procedure for geriatric hip fracture.

Methods:

A retrospective cohort study of geriatric patients (≥ 65 years of age) undergoing a hip fracture surgical procedure as part of the American College of Surgeons National Surgical Quality Improvement Program was conducted. Outcomes were compared between patients with and without hypoalbuminemia. All comparisons were adjusted for baseline and procedural differences between populations, and patients with missing serum albumin concentration were included in analyses using a missing …