The cortisol stress response following surgery for proximal femur fractures in geriatric patients – a prospective pilot study - Takeaways - MDSpire

The cortisol stress response following surgery for proximal femur fractures in geriatric patients – a prospective pilot study

  • By

  • Menger, Maximilian M.

  • Streck, Laura E.

  • Braun, Benedikt J.

  • Herath, Steven C.

  • Audretsch, Christof K.

  • Bamberg, Maximilian

  • Menger, Michael D.

  • Histing, Tina

  • Fontana, Johann

  • March 30, 2026

  • 0 min

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  • 1

    Aging affects the suprachiasmatic nucleus, impairing cortisol stress response and potentially increasing postoperative complications.

  • 2

    The study focused on 20 geriatric patients with proximal femur fractures, assessing their cortisol levels post-surgery.

  • 3

    35% of patients had cortisol levels below the critical threshold of 276 nmol/L, indicating potential corticosteroid insufficiency.

  • 4

    A significant correlation was found between IL-6 levels and cortisol, while other markers showed no predictive value.

  • 5

    Postoperative cortisol monitoring is recommended for geriatric patients to identify those needing treatment to improve outcomes.

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