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Malnutrition in hip fracture patients: an intervention study
Abstract
Aims To investigate whether a nutritional intervention in older women and men with femoral neck fracture had an effect on postoperative complications during hospitalization and on nutritional status at a four-month follow-up. Methods The design was a randomized controlled trial. The present study sample consisted of 157 patients aged 70 years and above with femoral neck fracture. The nutritional intervention included, among other things, a nutritional journal to detect nutrition deficiencies and protein-enriched meals for at least four days postoperatively. Further, at least two nutritional and protein drinks were served each day during the whole hospitalization and other factors that would influence the patient's nutrition were also considered and dealt with. Postoperative complications were registered and patients were assessed using the Mini Nutritional Assessment (MNA) scale, including body mass index (BMI), on admission and at a four-month follow-up. Results Malnutrition was common and low MNA scores were associated with postoperative complications such as delirium and decubitus ulcers. There were significantly fewer days of delirium in the intervention group, seven patients in the intervention group developed decubitus ulcers vs. 14 patients in the control group and the total length of hospitalization was shorter. There were no detectable significant improvements regarding nutritional parameters between the intervention and the control group at the four-month follow-up…
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“A range of positive effects are reported after six to twelve months, e.g.reduced length of hospital stay (55,56), improved independence in activities of daily living (56,192,193), improved mobility (56), reduced in-hospital falls and fall-related injuries (57), decreased emergency department visits (192) significantly fewer days of delirium (55), fewer pressure ulcers (55), reduced nursing home ad”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [55]
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ESPEN guideline on clinical nutrition and hydration in geriatrics
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Metadata
- Authors
- Olofsson, B., Stenvall, M., Lundström, M., Svensson, O., & Gustafson, Y.
- Affiliations
- Umeå University (SE)
- Venue
- Journal of Clinical Nursing
- Publisher
- Wiley
- Published
- 2007-04-05
- Volume
- 16
- Issue
- 11
- Pages
- 2027-2038
- ISSN
- 0962-1067 (ISSN-L)
- 1365-2702
- OpenAlex
- W2083812983
- Cited by
- 138
- References
- 42
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 9 · 2023: 11 · 2022: 6 · 2021: 6 · 2020: 5 · 2019: 5 · 2018: 6 · 2017: 8 · 2016: 6 · 2015: 10 · 2014: 6 · 2013: 6 · 2012: 9
- FWCI
- 8.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Hip and Femur Fractures
- Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Keywords
- malnutrition, hip fracture, femoral neck fracture, dietary intervention, older adults, postoperative complications, delirium, pressure ulcers, Mini Nutritional Assessment, length of hospital stay, sex differences, nutritional status
- MeSH terms
- Aged, Aged, 80 and over, Female, Hip Fractures, Humans, Male, Malnutrition
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