Nutritional Status Changes and Activities of Daily Living after Hip Fracture in Convalescent Rehabilitation Units: A Retrospective Observational Cohort Study from the Japan Rehabilitation Nutrition Database

Journal of the Academy of Nutrition and Dietetics
Shinta NishiokaRyo Momosaki

Abstract

Several studies have suggested that malnutrition impedes functional recovery in patients with hip fracture, but there are few reports on improvement in nutritional status and return to activities of daily living (ADL) in these patients. This study was conducted to evaluate the relationship between change in nutritional status and recovery of ADL in malnourished patients after hip fracture and to identify predictors of functional recovery among the characteristic features of undernutrition. This was a retrospective observational cohort study. Data for patients aged ≥65 years with hip fracture and malnutrition (Mini Nutritional Assessment-Short Form [MNA-SF] score ≤7) at the time of admission to convalescent rehabilitation units were obtained from the Japan Rehabilitation Nutrition Database between November 2015 and August 2017. The main outcome measures were Functional Independence Measure (FIM) at discharge and the proportion of patients discharged home. Patients were divided into two groups based on MNA-SF scores at discharge: improvement in nutritional status (>7, IN group) and non-improvement in nutritional status (≤7, NN group). Clinical characteristics and outcomes were compared between the groups. Multivariable regression...Continue Reading

Citations

Aug 22, 2018·The Journal of International Medical Research·Noriko KurokawaTeruyoshi Amagai
Jul 22, 2020·Geriatrics & Gerontology International·Eiji Kose, Hidetaka Wakabayashi
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Mar 14, 2021·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·Shinta NishiokaRyo Momosaki
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