Cited by 202Hip and Femur FracturesClinical Nutrition and GastroenterologyNutrition and Health in Aging

Using dietetic assistants to improve the outcome of hip fracture: a randomised controlled trial of nutritional support in an acute trauma ward

Duncan, Donna Georgina, Beck, Susan Janet, Hood, Kerenza, Johansen, Antony·2006·Age and Ageing

Abstract

Objective To examine how improved attention to nutritional status and dietary intake, achieved through the employment of dietetic assistants (DAs), will affect postoperative clinical outcome among elderly women with hip fracture. Design Open prospective randomised controlled trial, comparing conventional nursing care with the additional nutritional support provided by DA. Setting Thirty-eight bedded acute trauma ward in a teaching hospital. Participants All but 11 of 344 consecutive admissions with acute nonpathological hip fracture were approached. Three hundred and eighteen (93%) agreed to inclusion. Sixteen were ineligible as they were immediately transferred to another acute ward, were managed conservatively or died preoperatively. Primary outcome measure Postoperative mortality in the acute trauma unit. Secondary outcome measures Postoperative mortality at 4 months after fracture, length of stay, energy intake and nutritional status. Results DA-supported participants were less likely to die in the acute ward (4.1 versus 10.1%, P = 0.048). This effect was still apparent at 4 month follow-up (13.1 versus 22.9%, P = 0.036). DA-supported subjects had significantly better mean daily energy intake (1,105 kcal versus 756 kcal/24 h, 95% CI 259-440 kcal/24 h, P Conclusion Dietetic or nutrition assistants are being introduced in units across the UK. This, the largest ever study of nutritional support after hip fracture, shows that their employment significantly reduced patients' r…

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Crossref · 10.1093/ageing/afj011

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  • In that RCT, bodyweight, grip strength, complications, and length of hospital stay were unaffected.

    “Bodyweight, grip strength, complications, and length of hospital stay were however unaffected.”
  • In an RCT of acceptable quality, additional individual nutritional support by dietetic assistants in older hospitalized patients with hip fractures increased energy intake and decreased mortality in the trauma unit and within four months after discharge compared to standard care.

    “The study reported increased energy intake and decreased mortality in the trauma unit and within four months after discharge in the intervention group compared to the group with standard care.”

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Authors
Duncan, D. G., Beck, S. J., Hood, K., & Johansen, A.
Affiliations
University Hospital of Wales (GB)
Corresponding author
Duncan, Donna Georgina
Venue
Age and Ageing
Published
2005-12-14
Volume
35
Issue
2
Pages
148-153
ISSN
  • 0002-0729 (ISSN-L)
  • 1468-2834
OpenAlex
W2123746917
Cited by
202
References
15
Citations by year
2026: 6 · 2025: 6 · 2024: 7 · 2023: 6 · 2022: 15 · 2021: 13 · 2020: 11 · 2019: 10 · 2018: 17 · 2017: 11 · 2016: 14 · 2015: 9 · 2014: 10 · 2013: 11 · 2012: 11
FWCI
3.80
Type
journal article
Language
en
Open access
closed
Locations
  • Age and Ageing (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Hip and Femur Fractures
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
Keywords
nutritional support, hip fracture, postoperative mortality, older women, energy intake, nutritional status, mid-upper arm circumference, length of hospital stay, nursing care
MeSH terms
Aged, Energy Intake, Dietetics, Female, Follow-Up Studies, Hip Fractures, Humans, Nutritional Status, Postoperative Care, Postoperative Complications, Prospective Studies, Nutrition Assessment, Survival Rate, Treatment Outcome

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