P1072 - THE BENEFICIAL EFFECTS OF A MULTIDISCIPLINARY NUTRITIONAL INTERVENTION ON NUTRITIONAL CARE IN OLDER PATIENTS WITH HIP FRACTURE AND AT NUTRITION RISK

P1072

THE BENEFICIAL EFFECTS OF A MULTIDISCIPLINARY NUTRITIONAL INTERVENTION ON NUTRITIONAL CARE IN OLDER PATIENTS WITH HIP FRACTURE AND AT NUTRITION RISK

C. M. Møller¹, F. E. Pudselykke², A. W. knudsen¹, A. M. Beck¹, L. P. Sørensen¹, G. Ø. H. Mikkelsen², H. T. Filtenborg², T. S. Pedersen³, J. P. Alva-Jørgensen², T. Munk^1,*

¹Department of Dietetics and Nutritional Research, ²Department of Orthopedic Surgery, ³Department of Internal Medicin, Copenhagen University Hospital, Herlev Gentofte Hospital, Copenhagen, Denmark

Rationale: An audit in 2023¹ found that only 22% of hip fracture patients at nutritional risk met both energy and protein needs. This study assessed the impact of a dietitian-supported, multidisciplinary approach on nutritional care.

Methods: The study (September to December 2024) used the Plan-Do-Study-Act Model, with Sept 2023 audit data as baseline for nutritional intake. Further, a pre-intervention analysis assessed additional baseline nutritional data and barriers to optimal nutritional care among nurses and doctors. Two interventions were initiated to improve nutritional screening, dietary registration, and energy/protein intake: Intervention 1(I1), included dietitian-led education and peer training for nurses and doctors, along with signage highlighting patient nutritional requirement. Intervention 2(I2), involved dietitian training of service assistants, nudging staff toward better drink practices, and increase access to nutrient-rich beverages. Throughout the study, the dietitian offered individualized guidance to at-risk patients.

Results: Baseline data was collected from 10 patients at pre-intervention (30% F, median age 83.5y) and 9 patients from Audit (54% F, median age 82y). Follow-up data in 10 patients after I1 (10% F, median age 83.0y) and 10 patients after I2 (40% F, median age 84y). Compared to pre-intervention baseline data, a significant higher rate of nutritional screening (10% to 80%, p<0.01) and dietary registration (60% to 90%, p<0.01) was seen. Compared to audit data a significant increase in fulfilment of both energy and protein needs was found (22% to 80%, p<0.05).

Conclusion: A dietitian-supported multidisciplinary approach improved nutritional care in older hip fracture patients. This demonstrates the potential of targeted initiatives based on identified barriers can enhance nutritional care.

Disclosure of Interest: None declared