In:
British Journal of Nutrition, Cambridge University Press (CUP), Vol. 113, No. 12 ( 2015-06-28), p. 1940-1950
Abstract:
We examined the relationship between postoperative dietary intake (DI) of geriatric hip fracture (HF) patients and their functional and clinical course until 6 months after hospital discharge. In eighty-eight HF patients ≥ 75 years, postoperative DI was estimated with plate diagrams of main meals over four postoperative days. DI was stratified as 〉 50, 〉 25–50, ≤ 25 % of meals served. Functional status according to Barthel index (activities of daily living) and patients' mobility level before fracture, postoperatively, at discharge and 6 months later were assessed and related to DI levels. In-hospital complications were recorded according to clinical diagnosis. Associations were evaluated using χ 2 and Kruskal–Wallis tests, and repeated-measures ANOVA and ANCOVA. Postoperatively, 28 % of participants ate 〉 50 %, 43 % ate 〉 25–50 % and 28 % ≤ 25 % of meals served. Irrespective of pre-fracture functional status, patients with DI ≤ 25 % had significantly lower Barthel index scores at all times after surgery (all P 〈 0·05) and ANOVA revealed a significant time × DI interaction effect ( P = 0·047) on development of Barthel index scores that remained significant after adjustment for potential confounders. Patients with DI 〉 50 % more often had regained their pre-fracture mobility level than those with DI ≤ 25 % at discharge ( 〉 50 %: 36 %; 〉 25–50 %: 10 %; ≤ 25 %: 0 %; P = 0·001) and 6 months after discharge (88; 87; 68 %; P = 0·087) and had significantly less complications (median 2 (25th–75th percentile 1–3); 3 (25th–75th percentile 2–4); 3 (25th–75th percentile 3–4); P = 0·012). To conclude, geriatric HF patients had very low postoperative voluntary DI and thus need specific nutritional interventions to achieve adequate DI to support functional and clinical recovery.
Type of Medium:
Online Resource
ISSN:
0007-1145
,
1475-2662
DOI:
10.1017/S0007114515001282
Language:
English
Publisher:
Cambridge University Press (CUP)
Publication Date:
2015
detail.hit.zdb_id:
2016047-1
SSG:
12
SSG:
21
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