Patients' nutritional status is not recorded

BMJ 1995;311:572 (26 August)

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Patients' nutritional status is not recorded

EDITOR,--C J Todd and colleagues found considerable differencesamong hospitals in mortality, length of stay in hospital, andthe development of pressure sores in patients with hip fracture.¹Although the patients from the eight hospitals are said to havebeen well matched, no information is provided on the patients'nutritional status on arrival or on their subsequent nutritionalcare.

Simple anthropometric variables, such as weight in relationto height, the circumference of the midupper arm, and tricepsskin fold thickness, have been used to assess nutritional statusin patients with hip fracture and have proved to be predictorsof mortality and length of stay in hospital.² ³ Malnourishedpatients receiving supplemental oral or enteral nutrition haveshown fewer complications, a shorter stay in hospital and lowermortality.² ³ ⁴ ⁵ For example, patients receiving an oral supplementof 250 ml daily in one study had a median hospital stay of 40days, compared with . . . [Full text of this article]

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Differences in mortality after fracture of hip: the East Anglian audit: C J Todd, C J Freeman, C Camilleri-Ferrante, C R Palmer, A Hyder, C E Laxton, M J Parker, B V Payne, and N Rushton
BMJ 1995 310: 904-908. [Abstract] [Full Text]

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Todd, C J, Palmer, C., Camilleri-Ferrante, C, Freeman, C J, Laxton, C E, Parker, M J, Payne, B V, Rushton, N (1995). Differences in mortality after fracture of hip. BMJ 311: 1025b-1025 [Full text]