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Increased energy in...
Increased energy intake in hip fracture patients affects nutritional biochemical markers
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- Gunnarsson, Anna-Karin (författare)
- Uppsala universitet,Sjuksköterskeutbildningar
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- Åkerfeldt, Torbjörn (författare)
- Uppsala universitet,Biokemisk endokrinologi
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- Larsson, Sune (författare)
- Uppsala universitet,Ortopedi
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visa fler...
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- Gunningberg, Lena (författare)
- Uppsala universitet,Vårdvetenskap
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visa färre...
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(creator_code:org_t)
- 2012
- 2012
- Engelska.
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Ingår i: Scandinavian Journal of Surgery. - 1457-4969 .- 1799-7267. ; 101:3, s. 204-210
- Relaterad länk:
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https://urn.kb.se/re...
Abstract
Ämnesord
Stäng
- Background and Aims: We have previously shown that nutritional guidelines decreased the incidence of pressure ulcers in hip fracture patients. In the present study, we evaluate whether the nutritional biochemical markers S-IGF-1 (Insulin-like Growth Factor 1), S-Transthyretin and S-Albumin are affected by patients' energy intake, and whether the markers are useful as predictors of postoperative complications. Material and Methods: Quasi-experimental design, with one intervention and one control group, as well as pre- and post-study measurements. Eighty-eight hip fracture patients were included: 42 in the control group and 46 in the intervention group. The control group received regular nutritional support pre- and postoperatively, while the intervention group received nutritional support that followed new, improved clinical guidelines from admission to five days postoperatively. S-Albumin, S-Transthyretin, C-Reactive Protein (S-CRP) and S-IGF-1 were analysed at admission and five days postoperatively as well as complications like pressure ulcer and infection. Results: The intervention group had a significantly higher energy intake; for example, 1636 kcal versus 852 kcal postoperative day 1. S-IGF-1 levels decreased significantly in the control group, while no decrease in the intervention group. S-Albumin and S-Transthyretin decreased and S-CRP increased significantly in both groups, indicating that those markers were not affected short-term by a high-energy intake. There was no correlation between short-term postoperative complications and S-IGF-1, S-Transthyretin or S-Albumin at admission. Conclusion: The results of our study showed that S-IGF-1 can be used as a short-term nutritional biochemical marker, as it was affected by a five-day high-energy regimen. However, neither S-IGF-1, S-Transthyretin or S-Albumin were useful in predicting postoperative complications within five days postoperatively.
Nyckelord
- Nutrition therapy
- hip fracture
- Insulin-Like Growth Factor 1
- albumin
- prealbumin
- postoperative complications
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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