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. 2017 Dec;41(6):1005-1012.
doi: 10.5535/arm.2017.41.6.1005. Epub 2017 Dec 28.

Effects of Nutritional Status on 6-Month Outcome of Hip Fractures in Elderly Patients

Ka Ying Doris Miu  1 , Pui Shan Lam  1
Affiliations

Effects of Nutritional Status on 6-Month Outcome of Hip Fractures in Elderly Patients

Ka Ying Doris Miu et al. Ann Rehabil Med. 2017 Dec.

Abstract

Objective: To identify the prevalence of malnutrition in elderly hip fracture and to investigate the relationship between hip fracture patients and malnutrition on functional recovery and mortality.

Methods: All hip fracture patients age >65 years admitted to a rehabilitation unit were recruited from July 2015 to June 2016. Nutritional status was assessed by Mini-Nutritional Assessment Short-Form (MNA-SF) within 72 hours of admission. Patients were reassessed at 6 months for functional status and place of residence. Length of hospital stay, in-patient mortality rate, and 6-month mortality rate were also recorded.

Results: There were 218 patients recruited. The mean age was 83.5±7.5 years. According the MNA-SF, 46 (21.1%) were well nourished, 115 (52.6%) were at risk of malnutrition, and 57 (26.1%) were malnourished. Malnourished individuals were significantly older, had lower Mini-Mental State Examination score and albumin level, were functionally more dependent and were more likely to reside in elderly care facility. A higher proportion of elderly care residents were at-risk or were malnourished on admission, discharge and at 6 months. Functional recovery was slower in the malnourished group. In-patient mortality was higher in malnourished individuals compared to those at risk of malnourishment and well-nourished individuals.

Conclusion: The prevalence of malnutrition is high and is associated with poor functional recovery and elderly care placement. Residents of elderly care facilities are especially at risk due a higher prevalence of malnourishment. Health authorities are encouraged to evaluate the dietetic component in elderly care facilities and initiate nutrition supplementation in their planning of healthcare resources.

Keywords: Hip fractures; Nutritional status; Outcome.

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Conflict of interest statement

CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1. Modified Barthel Index (MBI) change among nutritional group on discharge and at 6 months. Each line represent different nutritional group.
Fig. 2
Fig. 2. Elderly care facilities (OAH) placement among nutritional group on admission, discharge and at 6 months.
See this image and copyright information in PMC

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