Rapid nutritional assessment and intervention in orthopedic rehabilitation patients.

Geriatr Nurs

College of Nursing and Health Innovation, University of Texas at Arlington, 411 S. Nedderman, Box 19407, Arlington, TX 76019, USA. Electronic address:

Published: August 2021

Objectives: The aim of this study was to identify the effect of early nutritional assessment and nutritional intervention on outcomes of older adult patients after discharge from an acute care hospital following fall related fracture.

Methods: This was a feasibility pilot study with post intervention data. One group pretest-posttest study design was implemented. All participants were admitted to a rehabilitation facility in the Southwestern US after a fall related fracture.

Measures: Discharge destination, Functional Independence Measure (FIM), and length of stay (LOS).

Results: A total of 69% of the participants were discharged home. Total FIM scores improved (p<0.01). No significant association was identified between prealbumin change and total FIM change. Patients who had improved prealbumin experienced improved FIM and shorter LOS; however, no significant correlations were determined between LOS and prealbumin change.

Conclusion: Nutritional interventions are important for recovery during rehabilitation of a fall-related fracture.

Summary: This project supports early nutritional evaluation and intervention for older adult patients after major orthopedic procedure. Participants who received early intervention had improved outcomes. (194 characters).

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http://dx.doi.org/10.1016/j.gerinurse.2020.09.001DOI Listing

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