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...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2015-05-01
|
| Series: | Clinical Interventions in Aging |
| Subjects: | |
| Online Access: | https://www.dovepress.com/the-role-of-perioperative-oral-nutritional-supplementation-in-elderly--peer-reviewed-article-CIA |
| _version_ | 1818843221980086272 |
|---|---|
| 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 |
| collection | DOAJ |
| 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 |
| first_indexed | 2024-12-19T04:54:26Z |
| format | Article |
| id | doaj.art-d976ff2b46a146b28728ada75f0f3022 |
| institution | Directory Open Access Journal |
| issn | 1178-1998 |
| language | English |
| last_indexed | 2024-12-19T04:54:26Z |
| publishDate | 2015-05-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Interventions in Aging |
| spelling | doaj.art-d976ff2b46a146b28728ada75f0f30222022-12-21T20:35:17ZengDove Medical PressClinical Interventions in Aging1178-19982015-05-01Volume 1084985821670The role of perioperative oral nutritional supplementation in elderly patients after hip surgeryLiu MYang JYu XHuang XVaidya SHuang FXiang ZMing 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-analysishttps://www.dovepress.com/the-role-of-perioperative-oral-nutritional-supplementation-in-elderly--peer-reviewed-article-CIAoral nutritionelderly patienthip surgerymeta-analysis |
| spellingShingle | 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 Clinical Interventions in Aging oral nutrition elderly patient hip surgery meta-analysis |
| title | 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_short | 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 nbsp surgery |
| topic | oral nutrition elderly patient hip surgery meta-analysis |
| url | https://www.dovepress.com/the-role-of-perioperative-oral-nutritional-supplementation-in-elderly--peer-reviewed-article-CIA |
| work_keys_str_mv | AT lium theroleofperioperativeoralnutritionalsupplementationinelderlypatientsafterhipnbspsurgery AT yangj theroleofperioperativeoralnutritionalsupplementationinelderlypatientsafterhipnbspsurgery AT yux theroleofperioperativeoralnutritionalsupplementationinelderlypatientsafterhipnbspsurgery AT huangx theroleofperioperativeoralnutritionalsupplementationinelderlypatientsafterhipnbspsurgery AT vaidyas theroleofperioperativeoralnutritionalsupplementationinelderlypatientsafterhipnbspsurgery AT huangf theroleofperioperativeoralnutritionalsupplementationinelderlypatientsafterhipnbspsurgery AT xiangz theroleofperioperativeoralnutritionalsupplementationinelderlypatientsafterhipnbspsurgery AT lium roleofperioperativeoralnutritionalsupplementationinelderlypatientsafterhipnbspsurgery AT yangj roleofperioperativeoralnutritionalsupplementationinelderlypatientsafterhipnbspsurgery AT yux roleofperioperativeoralnutritionalsupplementationinelderlypatientsafterhipnbspsurgery AT huangx roleofperioperativeoralnutritionalsupplementationinelderlypatientsafterhipnbspsurgery AT vaidyas roleofperioperativeoralnutritionalsupplementationinelderlypatientsafterhipnbspsurgery AT huangf roleofperioperativeoralnutritionalsupplementationinelderlypatientsafterhipnbspsurgery AT xiangz roleofperioperativeoralnutritionalsupplementationinelderlypatientsafterhipnbspsurgery |