Prevalence and consequences of malnutrition and malnourishment in older individuals admitted to hospital with a hip fracture
Background/objectives Major causes of hip fractures are osteoporosis and falls, both of which are determined by nutrition. Information on the nutritional status of patients admitted to hospital with a hip fracture is lacking. In this study, we assessed determinants and adverse outcomes associated wi...
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| Veröffentlicht in: | European journal of clinical nutrition 2021-04, Vol.75 (4), p.645-652 |
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| creator | Han, Thang S. Yeong, Keefai Lisk, Radcliffe Fluck, David Fry, Christopher H. |
| description | Background/objectives
Major causes of hip fractures are osteoporosis and falls, both of which are determined by nutrition. Information on the nutritional status of patients admitted to hospital with a hip fracture is lacking. In this study, we assessed determinants and adverse outcomes associated with malnutrition and malnourishment.
Methods
Nutritional status, assessed using the Malnutrition Universal Screening Tool protocol, was compared to age and residency prior to admission, and outcomes during hospital stay and at discharge.
Results
A total of 1239 patients admitted with a hip fracture (349 men, 890 women), aged 60–100 years. Compared with well-nourished individuals, the prevalences of malnutrition risk or malnourishment were higher in older age groups and those from residential or nursing care. Those with risk of malnutrition or malnourishment stayed in hospital longer by 3.0 days (95% confidence interval (CI), 1.5–4.5 days;
p
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| doi_str_mv | 10.1038/s41430-020-00774-5 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2449261005</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A657934786</galeid><sourcerecordid>A657934786</sourcerecordid><originalsourceid>FETCH-LOGICAL-c555t-4a5fd387e3d135844d93d9cc9a602d68745df02f975509bf44949b3794fa4ad63</originalsourceid><addsrcrecordid>eNp9kt9vFCEQx4nR2LP6D_hgSEyML1vZBZblsWn8lTTRB30m3DLc0rBwAltj4h8v26vWmoshBJj5zMAMX4Set-SsJXR4k1nLKGlIVycRgjX8Adq0TPQN7xl5iDZEctbQ6jtBT3K-IqQ6RfcYnVBKukGKdoN-fk5wrT2EEbAOBo8xZPi2rOeMo8Wz9mEpyRUXww2wGuKSXJ5mCAW7gKM3kOrGuGtnFu0z1mZ2pYDBJeIp5r0r2uPvrkxY48ntsU16LEuCp-iRrTw8u11P0dd3b79cfGguP73_eHF-2Yyc89Iwza2hgwBqWsoHxoykRo6j1D3pTD8Ixo0lnZWCcyK3ljHJ5JYKyaxm2vT0FL0-5N2nWGvLRc0uj-C9DhCXrLoa0fUtIbyiL_9Br2q1ob5OdbwlTNKekztqV1unXLCx1JLWpOq850JSJob12uYItYMASfsYwLpqvsefHeHrMDC78WjAq78CJtC-TDn6Zf2sfB_sDuCYYs4JrNonN-v0Q7VErVpSBy2pqiV1oyW1tuLFbSuW7QzmT8hv8VSAHoBcXWEH6a5X_0n7CxTL0uY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2510493650</pqid></control><display><type>article</type><title>Prevalence and consequences of malnutrition and malnourishment in older individuals admitted to hospital with a hip fracture</title><source>SpringerLink Journals - AutoHoldings</source><creator>Han, Thang S. ; Yeong, Keefai ; Lisk, Radcliffe ; Fluck, David ; Fry, Christopher H.</creator><creatorcontrib>Han, Thang S. ; Yeong, Keefai ; Lisk, Radcliffe ; Fluck, David ; Fry, Christopher H.</creatorcontrib><description>Background/objectives
Major causes of hip fractures are osteoporosis and falls, both of which are determined by nutrition. Information on the nutritional status of patients admitted to hospital with a hip fracture is lacking. In this study, we assessed determinants and adverse outcomes associated with malnutrition and malnourishment.
Methods
Nutritional status, assessed using the Malnutrition Universal Screening Tool protocol, was compared to age and residency prior to admission, and outcomes during hospital stay and at discharge.
Results
A total of 1239 patients admitted with a hip fracture (349 men, 890 women), aged 60–100 years. Compared with well-nourished individuals, the prevalences of malnutrition risk or malnourishment were higher in older age groups and those from residential or nursing care. Those with risk of malnutrition or malnourishment stayed in hospital longer by 3.0 days (95% confidence interval (CI), 1.5–4.5 days;
p
< 0.001) and 3.1 days (95% CI, 0.7–5.5 days;
p
= 0.011), respectively. Compared with the well-nourished group, malnourished individuals had increased: (1) risk for failure to mobilise within 1 day of surgery (rates = 17.9 versus 27.0%; odds ratio (OR) = 1.6 (95% CI, 1.0–2.7),
p
= 0.045); (2) pressure ulcers (rates = 1.0% versus 5.0%; OR = 5.5 (95% CI, 1.8–17.1),
p
= 0.006); (3) in-patient mortality (rates = 4.5% versus 10.1%; OR = 2.3 (95% CI, 1.1–4.8)
p
= 0.033) and (4) discharge to residential/nursing care: rates = 4.3% versus 11.1%; OR = 2.8 (95% CI, 1.2–6.6),
p
= 0.022.
Conclusions
Inadequate nutrition is common in patients admitted to hospital with a hip fracture, which in turn predisposes them to a number of complications. More research on nutritional support should be directed to this group to prevent or minimise hip fractures.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/s41430-020-00774-5</identifier><identifier>PMID: 33028971</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/1702 ; 692/700/1518 ; Aged patients ; Biomedical materials ; Clinical Nutrition ; Complications and side effects ; Confidence intervals ; Epidemiology ; Fractures ; Hip ; Hip joint ; Internal Medicine ; Malnutrition ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Nurses ; Nursing ; Nursing care ; Nutrition ; Nutrition research ; Nutritional status ; Osteoporosis ; Patient outcomes ; Patients ; Public Health ; Risk ; Statistics ; Surgery ; Ulcers</subject><ispartof>European journal of clinical nutrition, 2021-04, Vol.75 (4), p.645-652</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2020</rights><rights>COPYRIGHT 2021 Nature Publishing Group</rights><rights>The Author(s), under exclusive licence to Springer Nature Limited 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c555t-4a5fd387e3d135844d93d9cc9a602d68745df02f975509bf44949b3794fa4ad63</citedby><cites>FETCH-LOGICAL-c555t-4a5fd387e3d135844d93d9cc9a602d68745df02f975509bf44949b3794fa4ad63</cites><orcidid>0000-0003-2570-0938</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41430-020-00774-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41430-020-00774-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33028971$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Han, Thang S.</creatorcontrib><creatorcontrib>Yeong, Keefai</creatorcontrib><creatorcontrib>Lisk, Radcliffe</creatorcontrib><creatorcontrib>Fluck, David</creatorcontrib><creatorcontrib>Fry, Christopher H.</creatorcontrib><title>Prevalence and consequences of malnutrition and malnourishment in older individuals admitted to hospital with a hip fracture</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Background/objectives
Major causes of hip fractures are osteoporosis and falls, both of which are determined by nutrition. Information on the nutritional status of patients admitted to hospital with a hip fracture is lacking. In this study, we assessed determinants and adverse outcomes associated with malnutrition and malnourishment.
Methods
Nutritional status, assessed using the Malnutrition Universal Screening Tool protocol, was compared to age and residency prior to admission, and outcomes during hospital stay and at discharge.
Results
A total of 1239 patients admitted with a hip fracture (349 men, 890 women), aged 60–100 years. Compared with well-nourished individuals, the prevalences of malnutrition risk or malnourishment were higher in older age groups and those from residential or nursing care. Those with risk of malnutrition or malnourishment stayed in hospital longer by 3.0 days (95% confidence interval (CI), 1.5–4.5 days;
p
< 0.001) and 3.1 days (95% CI, 0.7–5.5 days;
p
= 0.011), respectively. Compared with the well-nourished group, malnourished individuals had increased: (1) risk for failure to mobilise within 1 day of surgery (rates = 17.9 versus 27.0%; odds ratio (OR) = 1.6 (95% CI, 1.0–2.7),
p
= 0.045); (2) pressure ulcers (rates = 1.0% versus 5.0%; OR = 5.5 (95% CI, 1.8–17.1),
p
= 0.006); (3) in-patient mortality (rates = 4.5% versus 10.1%; OR = 2.3 (95% CI, 1.1–4.8)
p
= 0.033) and (4) discharge to residential/nursing care: rates = 4.3% versus 11.1%; OR = 2.8 (95% CI, 1.2–6.6),
p
= 0.022.
Conclusions
Inadequate nutrition is common in patients admitted to hospital with a hip fracture, which in turn predisposes them to a number of complications. More research on nutritional support should be directed to this group to prevent or minimise hip fractures.</description><subject>692/699/1702</subject><subject>692/700/1518</subject><subject>Aged patients</subject><subject>Biomedical materials</subject><subject>Clinical Nutrition</subject><subject>Complications and side effects</subject><subject>Confidence intervals</subject><subject>Epidemiology</subject><subject>Fractures</subject><subject>Hip</subject><subject>Hip joint</subject><subject>Internal Medicine</subject><subject>Malnutrition</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>Nutrition</subject><subject>Nutrition research</subject><subject>Nutritional status</subject><subject>Osteoporosis</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Public Health</subject><subject>Risk</subject><subject>Statistics</subject><subject>Surgery</subject><subject>Ulcers</subject><issn>0954-3007</issn><issn>1476-5640</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kt9vFCEQx4nR2LP6D_hgSEyML1vZBZblsWn8lTTRB30m3DLc0rBwAltj4h8v26vWmoshBJj5zMAMX4Set-SsJXR4k1nLKGlIVycRgjX8Adq0TPQN7xl5iDZEctbQ6jtBT3K-IqQ6RfcYnVBKukGKdoN-fk5wrT2EEbAOBo8xZPi2rOeMo8Wz9mEpyRUXww2wGuKSXJ5mCAW7gKM3kOrGuGtnFu0z1mZ2pYDBJeIp5r0r2uPvrkxY48ntsU16LEuCp-iRrTw8u11P0dd3b79cfGguP73_eHF-2Yyc89Iwza2hgwBqWsoHxoykRo6j1D3pTD8Ixo0lnZWCcyK3ljHJ5JYKyaxm2vT0FL0-5N2nWGvLRc0uj-C9DhCXrLoa0fUtIbyiL_9Br2q1ob5OdbwlTNKekztqV1unXLCx1JLWpOq850JSJob12uYItYMASfsYwLpqvsefHeHrMDC78WjAq78CJtC-TDn6Zf2sfB_sDuCYYs4JrNonN-v0Q7VErVpSBy2pqiV1oyW1tuLFbSuW7QzmT8hv8VSAHoBcXWEH6a5X_0n7CxTL0uY</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Han, Thang S.</creator><creator>Yeong, Keefai</creator><creator>Lisk, Radcliffe</creator><creator>Fluck, David</creator><creator>Fry, Christopher H.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2570-0938</orcidid></search><sort><creationdate>20210401</creationdate><title>Prevalence and consequences of malnutrition and malnourishment in older individuals admitted to hospital with a hip fracture</title><author>Han, Thang S. ; Yeong, Keefai ; Lisk, Radcliffe ; Fluck, David ; Fry, Christopher H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c555t-4a5fd387e3d135844d93d9cc9a602d68745df02f975509bf44949b3794fa4ad63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>692/699/1702</topic><topic>692/700/1518</topic><topic>Aged patients</topic><topic>Biomedical materials</topic><topic>Clinical Nutrition</topic><topic>Complications and side effects</topic><topic>Confidence intervals</topic><topic>Epidemiology</topic><topic>Fractures</topic><topic>Hip</topic><topic>Hip joint</topic><topic>Internal Medicine</topic><topic>Malnutrition</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Nursing care</topic><topic>Nutrition</topic><topic>Nutrition research</topic><topic>Nutritional status</topic><topic>Osteoporosis</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Public Health</topic><topic>Risk</topic><topic>Statistics</topic><topic>Surgery</topic><topic>Ulcers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Han, Thang S.</creatorcontrib><creatorcontrib>Yeong, Keefai</creatorcontrib><creatorcontrib>Lisk, Radcliffe</creatorcontrib><creatorcontrib>Fluck, David</creatorcontrib><creatorcontrib>Fry, Christopher H.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Neurosciences Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Han, Thang S.</au><au>Yeong, Keefai</au><au>Lisk, Radcliffe</au><au>Fluck, David</au><au>Fry, Christopher H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and consequences of malnutrition and malnourishment in older individuals admitted to hospital with a hip fracture</atitle><jtitle>European journal of clinical nutrition</jtitle><stitle>Eur J Clin Nutr</stitle><addtitle>Eur J Clin Nutr</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>75</volume><issue>4</issue><spage>645</spage><epage>652</epage><pages>645-652</pages><issn>0954-3007</issn><eissn>1476-5640</eissn><abstract>Background/objectives
Major causes of hip fractures are osteoporosis and falls, both of which are determined by nutrition. Information on the nutritional status of patients admitted to hospital with a hip fracture is lacking. In this study, we assessed determinants and adverse outcomes associated with malnutrition and malnourishment.
Methods
Nutritional status, assessed using the Malnutrition Universal Screening Tool protocol, was compared to age and residency prior to admission, and outcomes during hospital stay and at discharge.
Results
A total of 1239 patients admitted with a hip fracture (349 men, 890 women), aged 60–100 years. Compared with well-nourished individuals, the prevalences of malnutrition risk or malnourishment were higher in older age groups and those from residential or nursing care. Those with risk of malnutrition or malnourishment stayed in hospital longer by 3.0 days (95% confidence interval (CI), 1.5–4.5 days;
p
< 0.001) and 3.1 days (95% CI, 0.7–5.5 days;
p
= 0.011), respectively. Compared with the well-nourished group, malnourished individuals had increased: (1) risk for failure to mobilise within 1 day of surgery (rates = 17.9 versus 27.0%; odds ratio (OR) = 1.6 (95% CI, 1.0–2.7),
p
= 0.045); (2) pressure ulcers (rates = 1.0% versus 5.0%; OR = 5.5 (95% CI, 1.8–17.1),
p
= 0.006); (3) in-patient mortality (rates = 4.5% versus 10.1%; OR = 2.3 (95% CI, 1.1–4.8)
p
= 0.033) and (4) discharge to residential/nursing care: rates = 4.3% versus 11.1%; OR = 2.8 (95% CI, 1.2–6.6),
p
= 0.022.
Conclusions
Inadequate nutrition is common in patients admitted to hospital with a hip fracture, which in turn predisposes them to a number of complications. More research on nutritional support should be directed to this group to prevent or minimise hip fractures.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>33028971</pmid><doi>10.1038/s41430-020-00774-5</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2570-0938</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | European journal of clinical nutrition, 2021-04, Vol.75 (4), p.645-652 |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | 692/699/1702 692/700/1518 Aged patients Biomedical materials Clinical Nutrition Complications and side effects Confidence intervals Epidemiology Fractures Hip Hip joint Internal Medicine Malnutrition Medicine Medicine & Public Health Metabolic Diseases Nurses Nursing Nursing care Nutrition Nutrition research Nutritional status Osteoporosis Patient outcomes Patients Public Health Risk Statistics Surgery Ulcers |
| title | Prevalence and consequences of malnutrition and malnourishment in older individuals admitted to hospital with a hip fracture |
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