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

BMC Public Health

Study Protocol

Caroline E Wyers¹  José JL Breedveld-Peters¹  Pieter C Dagnelie¹  Petronella LM Reijven²  Johan L Severens³  Lodewijk W van Rhijn⁴  Nick A Guldemond⁴  Aart D Verburg⁵  Berry Meesters⁶  Svenjhalmar van Helden⁷ 

[1] Department of Epidemiology, Maastricht University Medical Centre, PO Box 616, 6200, Maastricht, MD, The Netherlands;Department of Epidemiology, Maastricht University Medical Centre, PO Box 616, 6200, Maastricht, MD, The Netherlands;Department of Dietetics, Maastricht University Medical Centre, PO Box 5800, 6202, Maastricht, AZ, The Netherlands;Department of Health Organization, Policy and Economics, Maastricht University Medical Centre, and Institute of Health Policy and Management, Erasmus University Rotterdam, PO Box 616, 6200, Maastricht, MD, The Netherlands;Department of Orthopaedic Surgery, Maastricht University Medical Centre, PO Box 5800, 6202, Maastricht, AZ, The Netherlands;Department of Orthopaedic Surgery, Orbis Medical Centre, PO Box 5500, 6130, Sittard, MB, The Netherlands;Department of Surgery, Atrium Medical Centre, PO Box 4446, 6401, Heerlen, CX, The Netherlands;Department of Trauma surgery, Maastricht University Medical Centre, PO Box 5800, 6202, Maastricht, AZ, The Netherlands;

关键词: Nutritional Supplement;    Nutritional Intervention;    Rehabilitation Clinic;    Oral Nutritional Supplementation;    Checklist Individual Strength;   

DOI  :  10.1186/1471-2458-10-212

 received in 2010-04-01, accepted in 2010-04-27,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundHip 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.MethodsOpen-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.DiscussionPatient recruitment has started in July 2007 and has ended in December 2009. First results are expected in 2011.Trial registrationClinicalTrials.gov NCT00523575

【 授权许可】

CC BY   
© Wyers et al; licensee BioMed Central Ltd. 2010