Effects of Oral Nutritional Supplements in Normally Nourished or Mildly Undernourished Geriatric Patients After Surgery for Hip Fracture: A Randomized Clinical Trial

Botella-Carretero, José I.; Iglesias, Borja; Balsa, José Antonio; Zamarrón, Isabel; Arrieta, Francisco; Vázquez, Clotilde

doi:10.1177/0148607108314760

Cited by 70 publications

(76 citation statements)

References 28 publications

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“…Wasting associated with poor oral intake was considered to contribute to nutritional deterioration post fracture, with the group mean energy and protein intakes less than half of that recommended after surgery (50.9 kJ·(kg ABM) -1 ·day -1 and 0.60 g·(kg ABM) -1 ·day -1 , respectively). This was generally lower than most studies reporting inadequate intake post acute hip fracture (Delmi et al 1990;Sullivan et al 2004;Eneroth et al 2005;Nematy et al 2006;Foss et al 2007;Botella-Carretero et al 2008;Fiatarone Singh et al 2009;Gunnarsson et al 2009;Hoekstra et al 2011).…”

Section: Discussionmentioning

confidence: 64%

Barriers to nutritional intake in patients with acute hip fracture: time to treat malnutrition as a disease and food as a medicine?

Bell

Bauer

Capra

et al. 2013

Can. J. Physiol. Pharmacol.

131

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Inadequate energy and protein intake leads to malnutrition; a clinical disease not without consequence post acute hip fracture. Data detailing malnutrition prevalence, incidence, and intake adequacy varies widely in this patient population. The limited success of reported interventional strategies may result from poorly defined diagnostic criteria, failure to address root causes of inadequate intake, or errors associated with selection bias. This pragmatic study used a sequential, explanatory mixed methods design to identify malnutrition aetiology, prevalence, incidence, intake adequacy, and barriers to intake in a representative sample of 44 acute hip fracture patients (73% female; mean age, 81.7 ± 10.8 years). On admission, malnutrition prevalence was 52.2%. Energy and protein requirements were only met twice in 58 weighed 24 h food records. Mean daily patient energy intake was 2957 kJ (50.9 ± 36.1 kJ·kg(-1)) and mean protein intake was 22.8 g (0.6 ± 0.46 g·kg(-1)). This contributed to a further in-patient malnutrition incidence of 11%. Barriers to intake included patient perceptions that malnutrition and (or) inadequate intake were not a problem, as well as patient and clinician perceptions that treatment for malnutrition was not a priority. Malnutrition needs to be treated as a disease not without consequence, and food should be considered as a medicine after acute hip fracture.

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Section: Discussionmentioning

confidence: 64%

Barriers to nutritional intake in patients with acute hip fracture: time to treat malnutrition as a disease and food as a medicine?

Bell

Bauer

Capra

et al. 2013

Can. J. Physiol. Pharmacol.

131

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“…In conclusion, nutritional supplements seem to be effective [81][82][83][84][85][86][87][88] in the hip fracture population and are recommended in the perioperative period. One approach to the patient with a hip fracture is to obtain an albumin level during the admission laboratory studies.…”

Section: Nutritionmentioning

confidence: 92%

“…Several authors have studied the effect of perioperative nutritional supplements. The results suggest that these supplements may be effective in improving nutrition [81][82][83][84], decrease complications [81,82,85], increase muscular strength [86], shorten rehabilitation [87], and decrease bedsores [88]. One study showed a limited effect of supplementation and suggested that its use be restricted to subgroups of patients at high risk [89].…”

Section: Nutritionmentioning

confidence: 99%

How to optimize patients for geriatric fracture surgery

et al. 2010

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Low-energy fragility fractures account for >80% of fractures in elderly patients, and with aging populations, geriatric fracture surgery makes up a substantial proportion of the orthopedic workload. Elderly patients have markedly less physiologic reserve than do younger patients, and comorbidity is common. Even with optimal care, the risk of mortality and morbidity remains high. Multidisciplinary care, including early orthogeriatric input, is recommended to anticipate and treat complications. This article explores modern treatment strategies for this challenging group of patients and provides guidance for systematically preparing and optimizing elderly patients before surgery, based on best available current evidence and recommendations by relevant health organizations.

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“…For example, although Botella‐Carretero et al 43 estimated length of stay and nutrition‐related complications, they did not estimate the economic impact of EN. They did, however, report clinical complications, the costs of which can be estimated using our study findings.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Economic Burden of Diseases Associated With Poor Nutrition Status

Cangelosi

Rodday

Saunders

et al. 2013

J Parenter Enteral Nutr

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Effects of Oral Nutritional Supplements in Normally Nourished or Mildly Undernourished Geriatric Patients After Surgery for Hip Fracture: A Randomized Clinical Trial

Abstract: Oral nutritional supplements in normally nourished or only mildly undernourished geriatric patients with hip fracture submitted to surgery may be of interest for patients with postoperative complications and long hospital stays.

Cited by 70 publications

References 28 publications

Barriers to nutritional intake in patients with acute hip fracture: time to treat malnutrition as a disease and food as a medicine?

Barriers to nutritional intake in patients with acute hip fracture: time to treat malnutrition as a disease and food as a medicine?

How to optimize patients for geriatric fracture surgery

Evaluation of the Economic Burden of Diseases Associated With Poor Nutrition Status

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