Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Nutritional Supplementation Decreases Hip Fracture-related Complications.

Eneroth, Magnus LU ; Olsson, Ulla-Britt and Thorngren, Karl-Göran LU (2006) In Clinical Orthopaedics and Related Research 451. p.212-217
Abstract
Protein energy malnutrition is an important determinant of clinical outcome in older patients after hip fracture, but the effectiveness of nutritional support programs in routine clinical practice is controversial. We performed a prospective, randomized, controlled clinical trial to determine if nutritional supplementation decreased fracture-related complications in a selection of otherwise healthy patients with hip fractures. Patients were randomized to intervention or control groups. The control group (n = 40) was given ordinary hospital food and beverage. The intervention group (n = 40) also was administered a 1000 kcal daily intravenous supplement for 3 days, followed by a 400 kcal oral nutritional supplement for 7 days. We recorded... (More)
Protein energy malnutrition is an important determinant of clinical outcome in older patients after hip fracture, but the effectiveness of nutritional support programs in routine clinical practice is controversial. We performed a prospective, randomized, controlled clinical trial to determine if nutritional supplementation decreased fracture-related complications in a selection of otherwise healthy patients with hip fractures. Patients were randomized to intervention or control groups. The control group (n = 40) was given ordinary hospital food and beverage. The intervention group (n = 40) also was administered a 1000 kcal daily intravenous supplement for 3 days, followed by a 400 kcal oral nutritional supplement for 7 days. We recorded daily fluid and energy intake during the first 10 days of hospitalization and fracture-related complications up to 4 months. The total fluid and energy intake in the intervention group neared optimal levels. The control group received 54% and 64% of optimal energy and fluid intake, respectively. The risk of fracture-related complications was greater in the control group (70%) than in the intervention group (15%). Four patients in the control group died within 120 days postoperatively. The comprehensive balanced nutrition supplement resulted in lower complication rates and mortality at 120 days postoperatively. (Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Clinical Orthopaedics and Related Research
volume
451
pages
212 - 217
publisher
Lippincott Williams & Wilkins
external identifiers
  • wos:000243021200039
  • scopus:33749426420
ISSN
0009-921X
DOI
10.1097/01.blo.0000224054.86625.06
language
English
LU publication?
yes
id
90c1f2dd-d866-489a-a235-f4ff7f3d324f (old id 158342)
date added to LUP
2016-04-01 12:11:33
date last changed
2020-10-27 01:19:17
@article{90c1f2dd-d866-489a-a235-f4ff7f3d324f,
  abstract     = {Protein energy malnutrition is an important determinant of clinical outcome in older patients after hip fracture, but the effectiveness of nutritional support programs in routine clinical practice is controversial. We performed a prospective, randomized, controlled clinical trial to determine if nutritional supplementation decreased fracture-related complications in a selection of otherwise healthy patients with hip fractures. Patients were randomized to intervention or control groups. The control group (n = 40) was given ordinary hospital food and beverage. The intervention group (n = 40) also was administered a 1000 kcal daily intravenous supplement for 3 days, followed by a 400 kcal oral nutritional supplement for 7 days. We recorded daily fluid and energy intake during the first 10 days of hospitalization and fracture-related complications up to 4 months. The total fluid and energy intake in the intervention group neared optimal levels. The control group received 54% and 64% of optimal energy and fluid intake, respectively. The risk of fracture-related complications was greater in the control group (70%) than in the intervention group (15%). Four patients in the control group died within 120 days postoperatively. The comprehensive balanced nutrition supplement resulted in lower complication rates and mortality at 120 days postoperatively.},
  author       = {Eneroth, Magnus and Olsson, Ulla-Britt and Thorngren, Karl-Göran},
  issn         = {0009-921X},
  language     = {eng},
  pages        = {212--217},
  publisher    = {Lippincott Williams & Wilkins},
  series       = {Clinical Orthopaedics and Related Research},
  title        = {Nutritional Supplementation Decreases Hip Fracture-related Complications.},
  url          = {http://dx.doi.org/10.1097/01.blo.0000224054.86625.06},
  doi          = {10.1097/01.blo.0000224054.86625.06},
  volume       = {451},
  year         = {2006},
}