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

Beitrag in einer Fachzeitschrift


Details zur Publikation

Autorinnen und Autoren: Goisser S, Schrader E, Singler K, Bertsch T, Gefeller O, Biber R, Bail HJ, Sieber C, Volkert D
Zeitschrift: British Journal of Nutrition
Jahr der Veröffentlichung: 2015
Band: 113
Heftnummer: 12
Seitenbereich: 1940-50
ISSN: 0007-1145


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.


FAU-Autorinnen und Autoren / FAU-Herausgeberinnen und Herausgeber

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


Einrichtungen weiterer Autorinnen und Autoren

Paracelsus Medizinische Privatuniversität


Zitierweisen

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://dx.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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Zuletzt aktualisiert 2018-10-10 um 02:16