This study examines the Geriatric Nutritional Risk Index (GNRI) as a predictive tool for complications in geriatric trauma patients. A retrospective cohort study of 513 trauma patients aged 65+ years was conducted at a Level 1 trauma center. The study categorized patients into four GNRI risk groups (Major, Moderate, Low, No Risk) and analyzed their clinical outcomes.
Key Findings:
Higher GNRI risk was associated with increased mortality and more complications such as sepsis, pneumonia, and acute respiratory distress syndrome (ARDS).
Patients with No Risk GNRI had lower odds of death (OR: 0.13, 95% CI: 0.04–0.41) compared to the Major Risk group.
Those in the higher GNRI categories had shorter hospital stays and were more likely to be discharged home.
The study suggests GNRI is a valuable prognostic tool for identifying high-risk geriatric trauma patients and highlights the need for nutritional interventions in trauma care.
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