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Integrated nutritional intervention in the elderly after hip fracture. A process evaluation
José J L Breedveld-Peters1, Petronella L M Reijven, Caroline E Wyers
1Department of Epidemiology, School for Public Health and Primary Care - CAPHRI, Maastricht University Medical Centre, PO Box 616, 6200 MD Maastricht, The Netherlands. jose.breedveld@maastrichtuniversity.nl
Clinical Nutrition (Edinburgh, Scotland)
|November 1, 2011
Summary
Nutritional counseling for elderly hip fracture patients is feasible, but requires tailored approaches. Most patients need over two months of oral nutritional supplements for recovery.
Area of Science:
- Geriatric Medicine
- Nutritional Science
- Healthcare Management
Background:
- Elderly hip fracture patients often experience poor nutritional status, impacting recovery.
- Optimizing nutritional support is crucial for improving outcomes in this population.
Purpose of the Study:
- To evaluate the feasibility of a nutritional intervention for elderly hip fracture patients.
- To assess adherence and effectiveness within the Dutch healthcare system.
Main Methods:
- A multicentre randomized controlled trial involving 66 elderly hip fracture patients.
- Intervention included 10 nutritional counseling contacts and oral nutritional supplements.
- Evaluated dietitian adherence, counseling content, and patient adherence to recommendations.
Main Results:
- High patient adherence to counseling contacts (83%) and supplement intake (75%).
- Nutritional counseling was comprehensive in 91% of contacts.
- Patients required a median of 76 days of oral nutritional supplements.
Conclusions:
- Nutritional counseling via face-to-face and telephone contact is feasible for hip fracture patients.
- Individual tailoring of the intervention is recommended for optimal results.
- Extended nutritional support (over 2 months) is often necessary for elderly hip fracture patients.
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