Research paper
Nutritional supplementation for hip fracture aftercare in older people.
Study answer
What this study found
Overall, the evidence is low to very low quality, so firm conclusions cannot be drawn. Oral multinutrient supplements started before or soon after surgery may reduce complications and possibly other unfavourable outcomes within 12 months after hip fracture, but they do not show a clear mortality benefit. Nasogastric or intravenous multinutrient feeding has very limited evidence and does not show a clear mortality benefit, and may be poorly tolerated. Increasing protein intake in oral feeds showed no clear effect on mortality or complications, while dietetic assistance showed possible…
- Study & population
- Systematic review of randomized trials in older adults recovering from hip fracture, with interventions initiated before or soon after surgery and generally within the first month after fracture.
- Intervention
- The review evaluated nutritional supplementation started within the first month after hip fracture, including oral multinutrient supplements, nasogastric multinutrient feeding, and protein-enriched oral feeds given alongside usual hospital or ward diets.
- Key limitation
- The evidence base is small, heterogeneous, and mostly low or very low quality.
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Open PDFOriginal abstract
BACKGROUND Older people with hip fractures are often malnourished at the time of fracture, and subsequently have poor food intake. This is an update of a Cochrane review first published in 2000, and previously updated in 2010. OBJECTIVES To review th…