780 IMPROVING NUTRITIONAL SUPPORT FOR POST-SURGICAL FEMUR FRACTURE PATIENTS AT ST MARY'S HOSPITAL, LONDON.
Introduction Malnutrition represents a common complication in femur fracture patients and is primarily caused by poor dietary intake. Malnutrition is associated with poor clinical outcomes, and is the strongest independent risk factor for recurrent femur fracture. High protein oral nutrition supplem...
| Publicado en: | Age & Ageing Vol. 51; no. suppl_1; pp. 1 - 2 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Oxford University Press / USA
2022 Supplement 1
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=156110119&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 156110119 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: 2022 Supplement 1 vid: 51 iid: suppl_1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 156110119 10.1093/ageing/afac034.780 ppf: 1 ppct: 1 formats: tig: atl: 780 IMPROVING NUTRITIONAL SUPPORT FOR POST-SURGICAL FEMUR FRACTURE PATIENTS AT ST MARY'S HOSPITAL, LONDON. aug: au: Donnelly, L Sharpe, S Heber, I Morgan, C affil: Foundation Year 1 doctors, St Mary's Hospital , London Dietician, St Mary's Hospital , London Surgical Liaison consultant, St Mary's Hospital , London su: England Patients Conferences & conventions Surgery Diet therapy Postoperative period Public hospitals Femoral fractures sug: subj: Patients Conferences & conventions England Convention and Trade Show Organizers General Medical and Surgical Hospitals Surgery Diet therapy Postoperative period Public hospitals Femoral fractures ab: Introduction Malnutrition represents a common complication in femur fracture patients and is primarily caused by poor dietary intake. Malnutrition is associated with poor clinical outcomes, and is the strongest independent risk factor for recurrent femur fracture. High protein oral nutrition supplements (ONS) have been associated with improved clinical outcomes after femur fracture, including reduced complications, length of hospital stay, mortality and bone mineral density loss, and increases in functional status and quality of life (Volkert, Beck, Cederholm et al. Clinical Nutrition, 38, 10–47)). Accordingly, the European Society for Clinical Nutrition and Metabolism (ESPEN) advocates the use of ONS with all femur fracture patients in hospital. Aim To improve nutritional support for post-surgical femur fracture patients at St Mary's Hospital, London. Methods We plan to carry out three PDSA cycles to evaluate whether two separate interventions are effective in increasing the prescription rate of ONS in post-surgical femur patients. Each PDSA cycle included all patients who underwent surgical treatment for femur fracture during a one month period. Results 'Cycle 1' included 18 patients (mean age: 84.6 years; range: 68–98 years) treated in March 2021. ONS were prescribed in 11% (2/18) post-surgical femur fracture patients. 'Intervention 1' comprised a dietician-led presentation during the Geriatric department weekly teaching session on 17/05/21. 'Cycle 2' data will be collected one month after 'Intervention 1'. Conclusion 'Cycle 1' results revealed low rates of ONS prescriptions for post-surgical femur patients. We anticipate higher ONS prescription rates following 'Intervention 1'. We believe that doctors' and dieticians' awareness of the importance of nutritional support for post-surgical femur fracture patients is key to the success of this quality improvement project. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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