{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T09:23:26Z","timestamp":1763457806491,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","license":[{"start":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:00:00Z","timestamp":1762473600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Objective: The primary objective was to evaluate the predictive value of serum albumin levels for long-term functional recovery after hip fracture surgery.\r\nMethods: Data from a university hospital\u2019s Fracture Liaison Service Registry (2016-2021) were retrospectively analyzed. Hypoalbuminemia was defined as a serum albumin level below 35 g\/L upon admission, in line with established clinical thresholds from previous studies. Functional outcomes were assessed at baseline, 3 months, and 1 year after surgery using the Barthel Index to measure basic activities of daily living and the EuroQol Visual Analog Scale to assess overall health-related quality of life. Multivariate logistic regression identified risk factors for poor Barthel Index scores (&lt;60) at 1 year postoperatively.\r\nResults: The analysis included 1086 patients (mean age 79.9 years, 75.8% female) with a 28.9% prevalence of hypoalbuminemia(309 patients). All functional outcomes improved over the 1-year follow-up. However, in the hypoalbuminemia group, gains in quality of life plateaued after the first 3 months. Lower serum albumin and a higher comorbidity burden were associated with unfavorable long-term functional recovery. A serum albumin level below 38 g\/L (identified using the Youden Index) emerged as a threshold for predicting poor outcomes with Area Under Curve of 0.62.\r\nConclusion: Older adults with serum albumin levels below 38 g\/L may be at increased risk of poor functional recovery following hipfracture surgery. Although hypoalbuminemia is traditionally defined as levels below 35 g\/L, the findings suggest that adverse outcomes may begin to emerge at slightly higher levels. Early recognition of this risk, along with timely nutritional and rehabilitative interventions around the 38 g\/L threshold, may help support improved long-term outcomes and reduce post-fracture disability\r\n\u00a0\r\nCite this article as: Sirichativapee W, Chotiyarnwong P, Unnanuntana A, Vanitcharoenkul E. The impact of preoperative serum albumin on postoperative recovery and health-related quality of life in older hip fracture patients. Acta Orthop Traumatol Turc., Published online November 7, 2025. doi:10.5152\/j.aott.2025.25253.<\/jats:p>","DOI":"10.5152\/j.aott.2025.25253","type":"journal-article","created":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T06:32:35Z","timestamp":1762410755000},"source":"Crossref","is-referenced-by-count":0,"title":["The impact of preoperative serum albumin on postoperative recovery and healthrelated quality of life in older hip fracture patients"],"prefix":"10.5152","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0354-4612","authenticated-orcid":false,"given":"Wilasinee","family":"Sirichativapee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0287-222X","authenticated-orcid":false,"given":"Pojchong","family":"Chotiyarnwong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5742-298X","authenticated-orcid":false,"given":"Aasis","family":"Unnanuntana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3731-958X","authenticated-orcid":false,"given":"Ekasame","family":"Vanitcharoenkul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2025,11,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/4028\/3964","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/4028\/3964","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T09:11:15Z","timestamp":1763457075000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/4028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,7]]},"references-count":0,"URL":"https:\/\/doi.org\/10.5152\/j.aott.2025.25253","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2025,11,7]]}}}