Document Detail

Vulnerable patients with a fractured neck of femur: nutritional status and support in hospital.
MedLine Citation:
PMID:  16756536     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND AIM: Malnutrition has serious consequences for recovery and increases the risk of complications in hospital patients. Fractured neck of femur (NOF) patients may be particularly at risk because of their old age and frail state of health. We conducted an observational study to evaluate the nutritional state and the nutritional support, which was provided to this group during their stay in hospital. METHODS: Twenty-five consecutive people admitted to an orthopaedic ward with a fractured NOF at Charing Cross Hospital, London were recruited. Anthropometric measures, biochemical indices, 3 days dietary intake and dietetic referral rates were collected. RESULTS: Patients had a significantly lower body mass index (BMI) compared with the mean BMI for sex and age in an elderly UK population (21.97 +/- 1.06 versus 26.73 +/- 0.03 kg m(-2); P < 0.005). They took just 58.6% of their energy requirements in hospital (4219 +/- 319 versus 7199 +/- 202 kJ mean(-1) daily intake over 3 days in week 2). Using the hospitals own nutritional risk assessment tool 56% of patients were found to be at risk of malnutrition on admission, which increased to 68% after 2-3 weeks. Of these 64% were referred to a dietitian and were given nutritional supplements. Nutritional assessment revealed that their nutritional status worsened during stay. CONCLUSIONS: This group of patients with fractured NOF is likely to be malnourished on admission and to show a rapid deterioration in its nutrition status during admission. Energy needs were not met in up to 50% of patients. These results reinforce the need to screen, supplement and monitor fractured NOF patients.
M Nematy; M Hickson; A E Brynes; C H S Ruxton; G S Frost
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of human nutrition and dietetics : the official journal of the British Dietetic Association     Volume:  19     ISSN:  0952-3871     ISO Abbreviation:  J Hum Nutr Diet     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-07     Completed Date:  2006-10-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8904840     Medline TA:  J Hum Nutr Diet     Country:  England    
Other Details:
Languages:  eng     Pagination:  209-18     Citation Subset:  IM    
Nutrition and Dietetic Research Group, Imperial College London, Hammersmith Hospitals Trust, London W12 0HS, UK.
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MeSH Terms
Aged, 80 and over
Body Mass Index
Energy Intake / physiology
Femoral Neck Fractures / etiology*,  therapy
Geriatric Assessment
Malnutrition / complications*,  therapy
Nutrition Assessment
Nutritional Requirements
Nutritional Status*
Nutritional Support / methods*
Risk Assessment

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