The role of perioperative oral nutritional supplementation in elderly patients after hip surgery

The role of perioperative oral nutritional supplementation in elderly patients after hip surgery

Ming Liu,1* Jing Yang,2* Xi Yu,3 Xiao Huang,1 Sushan Vaidya,1 Fuguo Huang,1 Zhou Xiang1 1Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 2Department of Pain, Xiamen No 2 Hospital, Xiamen, Fujian Province, 3West China School of Medicine, Sichuan Univers...

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Autores principales: Liu M, Yang J, Yu X, Huang X, Vaidya S, Huang F, Xiang Z
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2015
Materias:
oral nutrition
elderly patient
hip surgery
meta-analysis
Geriatrics
RC952-954.6
Acceso en línea:https://doaj.org/article/d976ff2b46a146b28728ada75f0f3022
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spelling oai:doaj.org-article:d976ff2b46a146b28728ada75f0f30222021-12-02T00:16:00ZThe role of perioperative oral nutritional supplementation in elderly patients after hip surgery1178-1998https://doaj.org/article/d976ff2b46a146b28728ada75f0f30222015-05-01T00:00:00Zhttps://www.dovepress.com/the-role-of-perioperative-oral-nutritional-supplementation-in-elderly--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Ming Liu,1* Jing Yang,2* Xi Yu,3 Xiao Huang,1 Sushan Vaidya,1 Fuguo Huang,1 Zhou Xiang1 1Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 2Department of Pain, Xiamen No 2 Hospital, Xiamen, Fujian Province, 3West China School of Medicine, Sichuan University, Chengdu, Sichuan Province, People’s Republic of China *These authors contributed equally to this work Background: The effect of perioperative oral nutritional supplementation (ONS) on elderly patients after hip surgery remains controversial. This study intended to ascertain whether perioperative ONS is beneficial for the rehabilitation of elderly patients after hip surgery. Materials and methods: We searched databases including PubMed, Embase, and the Cochrane Central Register of Controlled Trials for articles published up to May 2014. Randomized controlled trials of ONS for elderly patients after hip surgery were included. Results: The combined trials showed that ONS had a positive effect on the serum total protein (P<0.00001) and led to a significantly decreased number of complications (P=0.0005). Furthermore, data from the infection subgroups showed significant decreases in wound infection (P=0.02), respiratory infection (P=0.04), and urinary tract infection (P=0.03). Clinical observation suggests that the intervention may improve the level of serum albumin, although the data did not reach statistical significance (P=0.48). Regarding mortality, there was no significant statistical difference between the intervention group and the control (P=0.93). Conclusion: Based on the evidence available, this meta-analysis is consistent with the hypothesis that perioperative ONS can help elderly patients recover after hip surgery and reduce complications. Keywords: oral nutrition, elderly patient, hip surgery, meta-analysisLiu MYang JYu XHuang XVaidya SHuang FXiang ZDove Medical Pressarticleoral nutritionelderly patienthip surgerymeta-analysisGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 849-858 (2015)
institution DOAJ
collection DOAJ
language EN
topic oral nutrition
elderly patient
hip surgery
meta-analysis
Geriatrics
RC952-954.6
spellingShingle oral nutrition
elderly patient
hip surgery
meta-analysis
Geriatrics
RC952-954.6
Liu M
Yang J
Yu X
Huang X
Vaidya S
Huang F
Xiang Z
The role of perioperative oral nutritional supplementation in elderly patients after hip surgery
description Ming Liu,1* Jing Yang,2* Xi Yu,3 Xiao Huang,1 Sushan Vaidya,1 Fuguo Huang,1 Zhou Xiang1 1Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 2Department of Pain, Xiamen No 2 Hospital, Xiamen, Fujian Province, 3West China School of Medicine, Sichuan University, Chengdu, Sichuan Province, People’s Republic of China *These authors contributed equally to this work Background: The effect of perioperative oral nutritional supplementation (ONS) on elderly patients after hip surgery remains controversial. This study intended to ascertain whether perioperative ONS is beneficial for the rehabilitation of elderly patients after hip surgery. Materials and methods: We searched databases including PubMed, Embase, and the Cochrane Central Register of Controlled Trials for articles published up to May 2014. Randomized controlled trials of ONS for elderly patients after hip surgery were included. Results: The combined trials showed that ONS had a positive effect on the serum total protein (P<0.00001) and led to a significantly decreased number of complications (P=0.0005). Furthermore, data from the infection subgroups showed significant decreases in wound infection (P=0.02), respiratory infection (P=0.04), and urinary tract infection (P=0.03). Clinical observation suggests that the intervention may improve the level of serum albumin, although the data did not reach statistical significance (P=0.48). Regarding mortality, there was no significant statistical difference between the intervention group and the control (P=0.93). Conclusion: Based on the evidence available, this meta-analysis is consistent with the hypothesis that perioperative ONS can help elderly patients recover after hip surgery and reduce complications. Keywords: oral nutrition, elderly patient, hip surgery, meta-analysis
format article
author Liu M
Yang J
Yu X
Huang X
Vaidya S
Huang F
Xiang Z
author_facet Liu M
Yang J
Yu X
Huang X
Vaidya S
Huang F
Xiang Z
author_sort Liu M
title The role of perioperative oral nutritional supplementation in elderly patients after hip surgery
title_short The role of perioperative oral nutritional supplementation in elderly patients after hip surgery
title_full The role of perioperative oral nutritional supplementation in elderly patients after hip surgery
title_fullStr The role of perioperative oral nutritional supplementation in elderly patients after hip surgery
title_full_unstemmed The role of perioperative oral nutritional supplementation in elderly patients after hip surgery
title_sort role of perioperative oral nutritional supplementation in elderly patients after hip surgery
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/d976ff2b46a146b28728ada75f0f3022
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