Low postoperative dietary intake is associated with worse functional course in geriatric patients up to 6 months after hip fracture
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 ov...
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| Main Authors: | , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
28 June 2015
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| In: |
British journal of nutrition
Year: 2015, Volume: 113, Issue: 12, Pages: 1940-1950 |
| ISSN: | 1475-2662 |
| DOI: | 10.1017/S0007114515001282 |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.1017/S0007114515001282 Verlag, Volltext: https://www-cambridge-org.ezproxy.medma.uni-heidelberg.de/core/journals/british-journal-of-nutrition/article/low-postoperative-dietary-intake-is-associated-with-worse-functional-course-in-geriatric-patients-up-to-6-months-after-hip-fracture/9D4BC895A6CC61C92B160AA11FDECDDA 
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| Author Notes: | Sabine Goisser, Eva Schrader, Katrin Singler, Thomas Bertsch, Olaf Gefeller, Roland Biber, Hermann-Josef Bail, Cornel C. Sieber, and Dorothee Volkert |
| Summary: | 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 χ2 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. |
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| Item Description: | Gesehen am 18.12.2018 |
| Physical Description: | Online Resource |
| ISSN: | 1475-2662 |
| DOI: | 10.1017/S0007114515001282 |