Influence of Nutritional Status on a Family-Centered Care Intervention for Older Adults with Cognitive Impairment following Hip-Fracture Surgery: Secondary Data Analysis of a Randomized Controlled Trial

Tseng, Ming‐Yueh; Liang, Jersey; Wu, Chi‐Chuan; Cheng, Huey‐Shinn; Chen, C.-Y.; Lin, Y.-E.; Weng, C.-J.; Yu, Yigang; Shyu, Yea‐Ing Lotus

doi:10.1007/s12603-022-1864-y

Cited by 2 publications

(1 citation statement)

References 38 publications

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“…From an initial pool of 1742 articles, our meticulous screening process led to the selection of 7 studies 11 , 12 , 13 , 14 , 15 , 16 , 17 for inclusion in this meta‐analysis. The characteristics and methodologies of these studies are detailed in Table 1 , providing an insight into their diverse approaches and populations.…”

Section: Resultsmentioning

confidence: 99%

The impact of early nutritional support on postoperative wound healing in patients with complex fractures: A meta‐analysis review

Bao,

Chu,

Zhang

et al. 2024

International Wound Journal

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Complex fractures present significant challenges in orthopaedic surgery, particularly in terms of postoperative wound healing. Nutritional status plays a crucial role in the recovery process, with early nutritional support potentially influencing wound healing outcomes. This meta‐analysis aimed to assess the impact of early nutritional interventions on postoperative wound healing and scar formation in patients with complex fractures. From an initial pool of 1742 articles, 7 studies were selected for analysis. The results revealed that preoperative nutritional support significantly improved early wound healing, as indicated by lower REEDA scores (SMD = −14.06, 95% CI: [−16.79, −11.32], p < 0.01) 1 week post‐surgery. Furthermore, there was a notable reduction in scar formation, as demonstrated by lower Manchester Scar Scale scores (SMD = −25.03, 95% CI: [−30.32, −19.74], p < 0.01) 3 months post‐surgery. These findings highlight the importance of incorporating nutritional strategies into the management of complex fractures to optimize postoperative recovery.

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Section: Resultsmentioning

confidence: 99%

The impact of early nutritional support on postoperative wound healing in patients with complex fractures: A meta‐analysis review

Bao,

Chu,

Zhang

et al. 2024

International Wound Journal

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Malnutrition-Related Health Outcomes in Older Adults with Hip Fractures: A Systematic Review and Meta-Analysis

Chiavarini,

Ricciotti,

Genga

et al. 2024

Nutrients

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Hip fracture is a common condition in older adults, leading to disability and mortality. Several studies have demonstrated the association between nutritional status and the risk of a negative health outcome after fractures. In this systematic review, we evaluated the association between malnutrition and mortality, changes in mobility/living arrangements, and postoperative complications, such as delirium, in older patients with hip fractures. A literature search on the PubMed, Web of Science, and Scopus databases, up to September 2023, was conducted to identify all studies involving older subjects that reported an association between MNA/GNRI/PNI/CONUT and health outcome after hip fracture. Meta-analysis was performed by a random-effects model using risk values (RR, OR, and HR) extracted from the 14 eligible selected studies. Malnutrition significantly increased the risk of any analyzed adverse outcome by 70% at 1 month, and up to 250% at 1 year. Malnutrition significantly increased delirium risk by 275% (OR = 2.75; 95% CI 1.80–4.18; p ≤ 0.05), mortality risk by 342% (OR = 3.42; 95% CI 2.14–5.48; p ≤ 0.05), mortality hazard risk by 351% (HR = 3.51; 95% CI 1.63–7.55; p ≤ 0.05) at 1 month, and transfer-to-more-supported-living-arrangements risk by 218% (OR = 2.18; 95% CI 1.58–3.01; p ≤ 0.05), and declined mobility risk by 41% (OR = 1.41; 95% CI 1.14–1.75; p ≤ 0.05), mortality risk by 368% (OR = 3.68; 95% CI 3.00–4.52; p ≤ 0.05), and mortality hazard risk by 234% (HR = 2.34; 95% CI 1.91–2.87; p ≤ 0.05) at 1 year. Malnutrition of older patients increases the risk of death and worsens mobility and independence after hip fractures. The results of the present study highlight the importance of nutritional status evaluation of older subjects with hip fractures in order to prevent potential adverse outcomes (Registration No: CRD42023468751).

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Influence of Nutritional Status on a Family-Centered Care Intervention for Older Adults with Cognitive Impairment following Hip-Fracture Surgery: Secondary Data Analysis of a Randomized Controlled Trial

Cited by 2 publications

References 38 publications

The impact of early nutritional support on postoperative wound healing in patients with complex fractures: A meta‐analysis review

The impact of early nutritional support on postoperative wound healing in patients with complex fractures: A meta‐analysis review

Malnutrition-Related Health Outcomes in Older Adults with Hip Fractures: A Systematic Review and Meta-Analysis

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