지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 562 - 569 (8page)
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초록· 키워드
오류제보하기
Objective To analyze whether sufficient energy intake (EI) improves performance of activities of daily living (ADL) in patients with hip fracture admitted to rehabilitation hospitals. The adequate amount of EI for improving performance of ADL in patients with hip fracture remains unknown. Methods This retrospective cohort study included all patients with hip fracture (n=234) admitted to rehabilitation hospitals in Japan. The inclusion criteria for this study were age >65 years and body mass index <30.0 kg/m2. Patients who were transferred to an acute hospital and those with missing case data were excluded. According to the amount of EI, the patients were classified into energy sufficiency and shortage groups (EI/total energy expenditure ≥1.0 and <1.0, respectively). The Functional Independence Measure (FIM) and FIM gain were used to evaluate the patient disability level and change in patient status in response to rehabilitation. Finally, FIM gain was calculated as the discharge FIM score minus the admission FIM score. Results The final analysis targeted 202 patients—53 (26.2%) were in the energy shortage group and 149 (73.8%) were in the energy sufficiency group. The energy sufficiency group had a greater FIM gain than the energy shortage group (mean, 25.1±14.2 vs. 19.7±16.4; p=0.024). Furthermore, sufficient EI in the first week since admission (β=0.165; 95% confidence interval, 0.392–5.230; p=0.023) was an independent factor of FIM gain. Conclusion Among elderly patients with hip fracture admitted to rehabilitation hospitals in Japan, the amount of EI during the first week after admission was an independent factor of FIM gain.
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등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Malafarina V / 2018 / Nutritional status and nutritional treatment are related to outcomes and mortality in older adults with hip fracture / Nutrients 10:E555
Bohl DD / 2017 / Serum albumin predicts survival and postoperative course following surgery for geriatric hip fracture / J Bone Joint Surg Am 99:2110~2118
Mazzola P / 2017 / Association between preoperative malnutrition and postoperative delirium after hip fracture surgery in older adults / J Am Geriatr Soc 65:1222~1228
Goisser S / 2015 / Low postoperative dietary intake is associated with worse functional course in geriatric patients up to 6 months after hip fracture / Br J Nutr 113:1940~1950
Inoue T / 2019 / Inadequate postoperative energy intake relative to total energy requirements diminishes acute phase functional recovery from hip fracture / Arch Phys Med Rehabil 100:32~38
Bohl DD / 2017 / Serum albumin predicts survival and postoperative course following surgery for geriatric hip fracture / J Bone Joint Surg Am 99:2110~2118
Mazzola P / 2017 / Association between preoperative malnutrition and postoperative delirium after hip fracture surgery in older adults / J Am Geriatr Soc 65:1222~1228
Goisser S / 2015 / Low postoperative dietary intake is associated with worse functional course in geriatric patients up to 6 months after hip fracture / Br J Nutr 113:1940~1950
Inoue T / 2019 / Inadequate postoperative energy intake relative to total energy requirements diminishes acute phase functional recovery from hip fracture / Arch Phys Med Rehabil 100:32~38
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