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

Duncan, Donna; Beck, Susan; Hood, Kerenza; Johansen, Antony

doi:10.1093/ageing/afj011

Cited by 169 publications

(172 citation statements)

References 13 publications

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“…Nonpharmacological approaches to maximizing peak bone mass, such as regular exercise and calcium and vitamin D supplementation, are established approaches to the management of osteoporosis and may also contribute to the prevention of fractures [93]. Indeed, there is some suggestion that interventions such as nutritional supplementation [94] and dietetic assessment [95], comprehensive multidisciplinary intervention programs [96,97], and in-hospital rehabilitation programs [98] may also improve outcomes, including mortality.…”

Section: Discussionmentioning

confidence: 99%

Excess mortality following hip fracture: a systematic epidemiological review

et al. 2009

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This systematic literature review has shown that patients experiencing hip fracture after low-impact trauma are at considerable excess risk for death compared with nonhip fracture/community control populations. The increased mortality risk may persist for several years thereafter, highlighting the need for interventions to reduce this risk.Patients experiencing hip fracture after low-impact trauma are at considerable risk for subsequent osteoporotic fractures and premature death. We conducted a systematic review of the literature to identify all studies that reported unadjusted and excess mortality rates for hip fracture. Although a lack of consistent study design precluded any formal meta-analysis or pooled analysis of the data, we have shown that hip fracture is associated with excess mortality (over and above mortality rates in nonhip fracture/community control populations) during the first year after fracture ranging from 8.4% to 36%. In the identified studies, individuals experienced an increased relative risk for mortality following hip fracture that was at least double that for the age-matched control population, became less pronounced with advancing age, was higher among men than women regardless of age, was highest in the days and weeks following the index fracture, and remained elevated for months and perhaps even years following the index fracture. These observations show that patients are at increased risk for premature death for many years after a fragility-related hip fracture and highlight the need to identify those patients who are candidates for interventions to reduce their risk.

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Section: Discussionmentioning

confidence: 99%

Excess mortality following hip fracture: a systematic epidemiological review

et al. 2009

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“…28 A systematic review of the evidence regarding the impact of improved nutritional care on nutritional and clinical outcomes identified that high-quality studies on this topic are few. 27 Non-traditional effective ways to improve patient dietary intake have been demonstrated, including the incorporation of feeding assistants onto a trauma ward 29 or provision of a family-style dinner arrangement instead of a tray service within a nursing home setting. 30 It is noteworthy that over half of the patients in the present study who were characterised as malnourished and 76% of those at risk of malnutrition were discharged home from hospital.…”

Section: Discussionmentioning

confidence: 99%

Poor nutritional status of older subacute patients predicts clinical outcomes and mortality at 18 months of follow-up

et al. 2012

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“…101 Furthermore, nutritional supplementation is believed to improve functional outcomes in selected patients. 102 A recent Cochrane systematic review provided low-quality evidence that oral supplements might prevent complications within the first 12 months after hip fracture, with no clear effect on mortality. 103 …”

Section: Rehabilitationmentioning

confidence: 99%

Hip Fracture in the Elderly

Urrutia¹,

Zamora²,

Klaber³

2017

CMGer

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Hip fractures in elderly patients are the most severe form of fragility fractures. They can lead to significant morbidity and mortality; additionally, they have an enormous economic and social burden. Treatment of hip fractures in elderly patients should be based on a prompt initial evaluation, followed by surgical treatment without unnecessary delays under a collaborative effort of a multidisciplinary team. Postoperative care should be started immediately after surgery, and it must include an intensive rehabilitation, as well as treatment of osteoporosis and any other metabolic imbalance. This review incorporates current literature on initial evaluation and definitive management of hip fractures in the elderly and is intended to assist practitioners of different specialties treating these patients.

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

Cited by 169 publications

References 13 publications

Excess mortality following hip fracture: a systematic epidemiological review

Excess mortality following hip fracture: a systematic epidemiological review

Poor nutritional status of older subacute patients predicts clinical outcomes and mortality at 18 months of follow-up

Hip Fracture in the Elderly

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