Macromineral intake and effect on hospitalization of patients in the orthopedic and traumatology ward

Yıl 2022, Cilt: 6 Sayı: 3, 417 - 425, 23.09.2022

Beydanur Nizam , Nazan Tokatlı Demirok , Abdülkadir Sarı , Burak Günaydın , Mehmet Ümit Çetin

https://doi.org/10.31015/jaefs.2022.3.11

Öz

This study was carried out with the aim of investigating the correlation between nutrition and macromineral intake levels with hospitalization duration and complications among patients with orthopedic diagnoses. The sample for the study comprised 85 patients admitted to Tekirdağ Namık Kemal University Health Practices and Research Hospital Orthopedic and Traumatology ward with diagnosis of orthopedic disorders. Among patients, 17.7% had femur fracture, 12.9% had tibia/fibula fracture, 12.9% had foot/ankle fracture, 14.1% had arm fractures, 23.5% had arthroscopic surgery, 10.6% had knee prosthesis and 8.3% had hip prosthesis. Among patients, 47.1% had complications observed after hospitalization, while the reduction in loss of appetite and diarrhea complications as potassium intake increased was found to be statistically significant (p<0.05). Of patients, 94.12% had NRS 2002 score below 3, while 5.88% had NRS 2002 score of 3 and above and were at risk. It was identified that patients at risk for nutritional status had statistically significantly longer hospitalization (p<0.05). Male patients had statistically significantly more Ca, P, K and Fe consumption compared to women (p<0.001). Based on the results, nutritional programs planned by dietitians will contribute to shortening hospitalization duration and preventing malnutrition.

Anahtar Kelimeler

Nutrition, Malnutrition, Complication, Orthopedics

Kaynakça

• Bannerman, E., Cantwell, L., Gaff, L., Conroy, A., Davidson, I., Jones, J. (2016). Dietary intakes in geriatric orthopaedic rehabilitation patients: Need to look at food consumption not just provision. Clinical Nutrition, 35 (4): 892–899. https://doi.org/10.1016/j.clnu.2015.06.001
• Baysal, A. (2014). Beslenme. Hatipoğlu Yayınları, ISBN 978-975-7527-73-2, Ankara, 115-155. (in Turkish).
• Bee, C. R., Sheerin, D.V., Wuest, T.K., Fitzpatrick, D.C. (2013). Serum Vitamin D Levels in orthopaedic trauma patients living in the Northwestern United States. Journal of Orthopaedic Trauma, 27 (5): 103–106. https://doi.org/10.1097/BOT.0b013e31825cf8fb
• Bischoff-Ferrari, H.A., Dawson-Hughes, B., Baron, J.A., Kanis, J.A., Orav, E.J., Staehelin, H.B., Kiel, D.P., Burckhardt, P., Henschkowski, J., Spiegelman, D., Li, R., Wong, J.B., Feskanich, D., Willett, W.C. (2011). Milk Intake and risk of hip fracture in men and women : A meta-analysis of prospective cohort studies. Journal of Bone and Mineral Research, 26 (4): 833–839. https://doi.org/10.1002/jbmr.279
• Blössner, M., De Onis, M. (2005). Malnutrition: quantifying the health impact at national and local levels. Environmental Burden Disease Series, 12 (12): 43. https://apps.who.int/iris/bitstream/handle/10665/43120/9241591870.pdf
• Bogunovic, L., Kim, A.D., Beamer, B.S., Nguyen, J., Lane, J.M. (2010). Hypovitaminosis D in patients scheduled to undergo orthopaedic surgery: A single-center analysis. Journal of Bone and Joint Surgery, Series A, 92 (13): 2300–2304. https://doi.org/10.2106/JBJS.I.01231
• Correia, M.I.T.D., Waitzberg, D.L. (2003). The İmpact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clinical Nutrition, 22 (3): 235–239. https://doi.org/10.1016/S0261-5614(02)00215-7
• Cumming, R.G., Cummings, S.R., Nevitt, M.C., Scott, J., Ensrud, K.E., Vogt, T.M., Fox, K. (1997). Calcium İntake and fracture risk: Results from the study of osteoporotic fractures. American Journal of Epidemiology, 145 (10): 926-934. https://doi.org/10.1093/oxfordjournals.aje.a009052
• De, L.C., De, T. (2019). Healthy food for healthy life. J. Glob., Biosci, 8: 6453-6468. https://www.mutagens.co.in/jgb/vol.08/09/Journal%20of%20Global%20Biosciences%20080904.pdf
• Delmi, M., Rapin, C.H., Bengoa, J.M., Delmas, P.D., Vasey, H., Bonjour, J.P. (1990). Dietary supplementationin elderly patients with fractured neck of the femur. The Lancet, 335: 1013–1016. https://doi.org/10.1016/0140-6736(90)91073-J
• Duan, T., Cil, O., Thiagarajah, J.R., Verkman, A.S. (2019). Intestinal epithelial potassium channels and CFTR chloride channels activated in ErbB tyrosine kinase inhibitor diarrhea. JCI insight, 4(4): 126-444. https://doi.org/10.1172/jci.insight.126444
• Fardellone, P., Cotté, F.E., Roux, C., Lespessailles, E., Mercier, F., Gaudin, A.F. (2010). Calcium intake and the risk of osteoporosis and fractures in French women. Joint Bone Spine, 77 (2): 154-158. https://doi.org/10.1016/j.jbspin.2009.08.007
• Groenendijk, I., Kramer, C.S., Den Boeft, L.M., Hobbelen, H.S.M., Van Der Putten, G.J., De Groot, L.C.P.G.M. (2020). Hip Fracture Patients İn Geriatric Rehabilitation Show Poor Nutritional Status, Dietary İntake and muscle health. Nutrients, 12 (9): 1-14. https://doi.org/10.3390/nu12092528
• Hendrickson, N.R., Glass, N., Compton, J., Wilkinson, B.G., Marsh, J.L., Willey, M.C. (2019). Perioperative nutrition assessment in musculoskeletal trauma patients: Dietitian evaluation is superior to serum chemistries or modified screening questionnaire for risk stratification. Clinical Nutrition ESPEN, 29: 97-102. https://doi.org/10.1016/j.clnesp.2018.11.012
• Khah, M.T., Yousefi, H., Monazami Ansari, A.H., Musarezaie, A. (2020). Prevalence of postoperative nausea and vomiting and pain in patients undergoing elective orthopaedic surgery in Iran. Journal of Perianesthesia Nursing, 35(3):294-297. https://doi.org/10.1016/j.jopan.2019.07.006
• Koltka, E.N., Çelik, M., Öztekin, F., Sa, A.E., Ömür, D. (2004). Majör ortopedik cerrahi uygulanan hastalarda ek beslenme desteğinin etkileri. In KEPAN. 26-30. (in Turkish).
• Lambert, C., Nüssler, A., Biesalski, H.K., Freude, T., Bahrs, C., Ochs, G., Flesch, I., Stöckle, U., Ihle, C. (2017). Age-dependent risk factors for malnutrition in traumatology and orthopedic patients. Nutrition, 37: 60–67. https://doi.org/10.1016/j.nut.2016.12.013
• Lumbers. M., New, S.A., Gibson, S., Murphy, M.C. (2001). Nutritional status in elderly female hip fracture patients: comparison with an age-matched home living group attending day centres. British Journal of Nutrition, 85 (6): 733–740. https://doi.org/10.1079/bjn2001350
• Macit, M.S., Akbulut, G. (2015). Tıbbi Beslenme Tedavisinde Güncel Uygulamalar 7, Vücut Ağırlığı Denetimi: Obezite ve Yeme Bozukluklarında Tıbbi Beslenme Tedavisi. Ankara Nobel Tıp Kitabevleri, Ankara, 11-63 (in Turkish).
• Moon, A.S., Boudreau, S., Mussell, E., He, J.K., Brabston, E.W., Ponce, B.A., Momaya, A.M. (2019). Current concepts in vitamin D and orthopaedic surgery. Orthopaedics and Traumatology: Surgery and Research, 105 (2): 375–382. https://doi.org/10.1016/j.otsr.2018.12.006
• Olofsson, B., Stenvall, M., Lundström, M., Svensson, O., Gustafson, Y. (2007). Malnutrition in hip fracture patients: An intervention study. Journal of Clinical Nursing, 16 (11): 2027–2038. https://doi.org/10.1111/j.1365-2702.2006.01864.x
• Pagan, J.D. (2010). The role of nutrition in developmental orthopedic disease: nutritional management. Part VI Developmental Orthopedic Disease and Lameness, 625-631. https://doi.org/10.1016/B978-1-4160-6069-7.00055-9
• Rosenberger, C., Rechsteiner, M., Dietsche, R., Breidert, M. (2019). Energy and protein intake in 330 geriatric orthopaedic patients: Are the current nutrition guidelines applicable? Clinical Nutrition ESPEN, 29: 86–91. https://doi.org/10.1016/j.clnesp.2018.11.016
• Tamura, B.K., Bell, C.L., Masaki, K.H., Amella, E.J. (2013). Factors associated with weight loss, low BMI, and malnutrition among nursing home patients: a systematic review of the literature. Journal of the American Medical Directors Association, 14 (9), 649-655. https://doi.org/10.1016/j.jamda.2013.02.022
• Thandrayen, K., Pettifor, J.M. (2018). The roles of vitamin D and dietary calcium in nutritional rickets. Bone Reports, 8:81-89. https://doi.org/10.1016/j.bonr.2018.01.005
• Torbergsen, A.C., Watne, L.O., Frihagen, F., Wyller, T.B., Mowè, M. (2019). Effects Of Nutritional İntervention Upon Bone Turnover İn Elderly Hip Fracture Patients. Randomized Controlled trial. Clinical Nutrition ESPEN, 29: 52-58. https://doi.org/10.1016/j.clnesp.2017.11.012
• Ünal, B., Ergör, G., Dinç Horasan, G., Kalaça, S., Sözmen, K. (2013). Türki̇ye kroni̇k hastalıklar ve ri̇sk faktörleri̇ sıklığı çalışması. T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu. Ankara https://sbu.saglik.gov.tr/ekutuphane/kitaplar/khrfat.pdf (in Turkish).
• Yılmaz, E., Özkan, S. (2007). Üniversite Öğrencilerinin Beslenme Alışkanlıklarının Incelenmesi. Fırat Sağlık Hizmetleri Dergisi, 2 (6): 87-104. Retrieved from https://www.researchgate.net/profile/Emel-Yilmaz-6/publication/292989057_Universite_ogrencilerinin_beslenme_aliskanliklarinin_incelenmesiInvestigation_of_Nutritional_Habits_in_University_Students/links/56b498e108ae2f3201130f6b/Ueniversite-oegrencilerinin-beslenme-aliskanliklarinin-incelenmesi-Investigation-of-Nutritional-Habits-in-University-Students.pdf (in Turkish).