Low postoperative dietary intake is associated with worse functional course in geriatric patients up to 6 months after hip fracture

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

Journal

British Journal of Nutrition Cambridge University Press (CUP) / Nutrition Society

Book Volume: 113

Pages Range: 1940-50

Journal Issue: 12

DOI: 10.1017/S0007114515001282

Abstract

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.

Authors with CRIS profile

Sabine Goisser Professur für Klinische Ernährung im Alter Eva Schrader Professur für Klinische Ernährung im Alter Katrin Singler Medizinische Fakultät Olaf Gefeller Lehrstuhl für Biometrie und Epidemiologie Cornel Sieber Lehrstuhl für Innere Medizin (Geriatrie) Dorothee Volkert Professur für Klinische Ernährung im Alter

Involved external institutions

Paracelsus Medizinische Privatuniversität AT Austria (AT)

How to cite

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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