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Nutritional status among patients with hip fracture in relation to pressure ulcers.

Hommel, Ami LU ; Björkman Björkelund, Karin LU ; Thorngren, Karl-Göran LU and Ulander, Kerstin LU (2007) In Clinical Nutrition 26(5). p.589-596
Abstract
Background & aims



Patients with a hip fracture often have a poor nutritional status that is associated with increased risk of complications, morbidity and mortality. The aim of this study was to investigate the effects of an improved care intervention in relation to nutritional status and pressure ulcers. An intervention of best practices for patients with hip fracture was introduced, using the available resources effectively and efficiently with a not too complicated or expensive intervention.

Methods



A quasi-experimental study of 478 patients consecutively included between April 1, 2003 and March 31, 2004. A new evidence-based clinical pathway was introduced on October 1, 2003. The... (More)
Background & aims



Patients with a hip fracture often have a poor nutritional status that is associated with increased risk of complications, morbidity and mortality. The aim of this study was to investigate the effects of an improved care intervention in relation to nutritional status and pressure ulcers. An intervention of best practices for patients with hip fracture was introduced, using the available resources effectively and efficiently with a not too complicated or expensive intervention.

Methods



A quasi-experimental study of 478 patients consecutively included between April 1, 2003 and March 31, 2004. A new evidence-based clinical pathway was introduced on October 1, 2003. The results from the first 210 patients in the control group and the last 210 patients in the intervention group are presented in this article.

Results



The total number of patients with a hospital-acquired pressure ulcer was in the intervention group, 19 patients, and in the control group, 39 patients (p=0.007). No patient younger than 65 years developed a pressure ulcer. There were no statistical significant differences between the groups with respect to blood biochemical variables at inclusion. Patients in the control group had higher arm muscle circumference (AMC) (p=0.05), calf circumference (CC) (p=0.038) and body mass index (BMI) (p=0.043) values. Abnormal anthropometrical tests of BMI, triceps skin fold (TSF) <10th percentile and AMC <10th percentile were found in 12 patients in the control group and in 4 patients in the intervention group. None of the 4 patients in the intervention group developed pressure ulcers. However, 2 of the 12 patients in the control group were affected.

Conclusions



It is possible to reduce the development of hospital-acquired pressure ulcers among elderly patients with a hip fracture even though they have poor prefracture nutritional status. Results in this study indicate the value of the new clinical pathway, as number of patients who have developed pressure ulcers during their stay in hospital has been reduced by 50%. (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
keywords
Hip fracture, Pressure ulcers, Nutritional status
in
Clinical Nutrition
volume
26
issue
5
pages
589 - 596
publisher
Elsevier
external identifiers
  • wos:000251442200011
  • scopus:35448987284
ISSN
1532-1983
DOI
10.1016/j.clnu.2007.06.003
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Caring Sciences (Closed 2012) (016514020), Department of Orthopaedics (Lund) (013028000), Division of Nursing (Closed 2012) (013065000)
id
bf699008-dc3a-4cf7-a9d6-3957d91d0edc (old id 607195)
date added to LUP
2016-04-01 15:19:09
date last changed
2020-10-20 03:51:27
@article{bf699008-dc3a-4cf7-a9d6-3957d91d0edc,
  abstract     = {Background &amp; aims<br/><br>
<br/><br>
Patients with a hip fracture often have a poor nutritional status that is associated with increased risk of complications, morbidity and mortality. The aim of this study was to investigate the effects of an improved care intervention in relation to nutritional status and pressure ulcers. An intervention of best practices for patients with hip fracture was introduced, using the available resources effectively and efficiently with a not too complicated or expensive intervention.<br/><br>
Methods<br/><br>
<br/><br>
A quasi-experimental study of 478 patients consecutively included between April 1, 2003 and March 31, 2004. A new evidence-based clinical pathway was introduced on October 1, 2003. The results from the first 210 patients in the control group and the last 210 patients in the intervention group are presented in this article.<br/><br>
Results<br/><br>
<br/><br>
The total number of patients with a hospital-acquired pressure ulcer was in the intervention group, 19 patients, and in the control group, 39 patients (p=0.007). No patient younger than 65 years developed a pressure ulcer. There were no statistical significant differences between the groups with respect to blood biochemical variables at inclusion. Patients in the control group had higher arm muscle circumference (AMC) (p=0.05), calf circumference (CC) (p=0.038) and body mass index (BMI) (p=0.043) values. Abnormal anthropometrical tests of BMI, triceps skin fold (TSF) &lt;10th percentile and AMC &lt;10th percentile were found in 12 patients in the control group and in 4 patients in the intervention group. None of the 4 patients in the intervention group developed pressure ulcers. However, 2 of the 12 patients in the control group were affected.<br/><br>
Conclusions<br/><br>
<br/><br>
It is possible to reduce the development of hospital-acquired pressure ulcers among elderly patients with a hip fracture even though they have poor prefracture nutritional status. Results in this study indicate the value of the new clinical pathway, as number of patients who have developed pressure ulcers during their stay in hospital has been reduced by 50%.},
  author       = {Hommel, Ami and Björkman Björkelund, Karin and Thorngren, Karl-Göran and Ulander, Kerstin},
  issn         = {1532-1983},
  language     = {eng},
  number       = {5},
  pages        = {589--596},
  publisher    = {Elsevier},
  series       = {Clinical Nutrition},
  title        = {Nutritional status among patients with hip fracture in relation to pressure ulcers.},
  url          = {https://lup.lub.lu.se/search/ws/files/4366067/626112.pdf},
  doi          = {10.1016/j.clnu.2007.06.003},
  volume       = {26},
  year         = {2007},
}