Goisser S, Schrader E, Singler K, Bertsch T, Gefeller O, Biber R, Bail HJ, Sieber C, Volkert D (2015)
Publication Type: Journal article
Publication year: 2015
Book Volume: 113
Pages Range: 1940-50
Journal Issue: 12
DOI: 10.1017/S0007114515001282
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 ?2 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 P50 % 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.
APA:
Goisser, S., Schrader, E., Singler, K., Bertsch, T., Gefeller, O., Biber, R.,... Volkert, D. (2015). Low postoperative dietary intake is associated with worse functional course in geriatric patients up to 6 months after hip fracture. British Journal of Nutrition, 113(12), 1940-50. https://doi.org/10.1017/S0007114515001282
MLA:
Goisser, Sabine, et al. "Low postoperative dietary intake is associated with worse functional course in geriatric patients up to 6 months after hip fracture." British Journal of Nutrition 113.12 (2015): 1940-50.
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