Efficacy and cost-effectiveness of nutritional intervention in elderly after hip fracture: design of a randomized controlled trial

被引:17
作者
Wyers, Caroline E. [1 ]
Breedveld-Peters, Jose J. L. [1 ]
Reijven, Petronella L. M. [1 ,2 ]
van Helden, Svenjhalmar [3 ]
Guldemond, Nick A. [4 ]
Severens, Johan L. [5 ,6 ]
Verburg, Aart D. [7 ]
Meesters, Berry [8 ]
van Rhijn, Lodewijk W. [4 ]
Dagnelie, Pieter C. [1 ]
机构
[1] Maastricht Univ Med Ctr, Dept Epidemiol, NL-6200 MD Maastricht, Netherlands
[2] Maastricht Univ Med Ctr, Dept Dietet, NL-6202 AZ Maastricht, Netherlands
[3] Maastricht Univ Med Ctr, Dept Trauma Surg, NL-6202 AZ Maastricht, Netherlands
[4] Maastricht Univ Med Ctr, Dept Orthopaed Surg, NL-6202 AZ Maastricht, Netherlands
[5] Maastricht Univ Med Ctr, Dept Hlth Org Policy & Econ, NL-6200 MD Maastricht, Netherlands
[6] Erasmus Univ, Inst Hlth Policy & Management, NL-6200 MD Maastricht, Netherlands
[7] Orbis Med Ctr, Dept Orthopaed Surg, NL-6130 MB Sittard, Netherlands
[8] Atrium Med Ctr, Dept Surg, NL-6401 CX Heerlen, Netherlands
关键词
FEMORAL-NECK FRACTURES; ABBREVIATED MENTAL TEST; CONCEPTUAL-FRAMEWORK; ORTHOPEDIC PATIENTS; SHORTENED VERSION; HEALTH SURVEY; FOLLOW-UP; PEOPLE; SF-36; DEPRESSION;
D O I
10.1186/1471-2458-10-212
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Hip fracture patients often have an impaired nutritional status at the time of fracture, which can result in a higher complication rate, prolonged rehabilitation time and increased mortality. A study was designed to evaluate the effect of nutritional intervention on nutritional status, functional status, total length of stay, postoperative complications and cost-effectiveness. Methods: Open-labelled, multi-centre, randomized controlled trial in hip fracture patients aged 55 years and above. The intervention group receives dietetic counselling (by regular home visits and telephone calls) and oral nutritional supplementation for three months after surgery. The control group receives usual dietetic care as provided by the hospital. Outcome assessment is performed at three and six months after hip fracture. Discussion: Patient recruitment has started in July 2007 and has ended in December 2009. First results are expected in 2011.
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页数:6
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