LB029 - EFFECTS OF PERIOPERATIVE NUTRITIONAL INTERVENTION ACCORDING TO GLIM SEVERITY IN PATIENTS WITH PROXIMAL FEMORAL FRACTURES

LB029

EFFECTS OF PERIOPERATIVE NUTRITIONAL INTERVENTION ACCORDING TO GLIM SEVERITY IN PATIENTS WITH PROXIMAL FEMORAL FRACTURES

Y. Sawazu^1,*, Y. Nakayama², A. Shirasaka²

¹Pharmacy Department, ²Nutrition Department, Kumamoto Jeneral Hospital, Yatushiro-city, Japan

Rationale: To assess nutritional interventions by GLIM severity in patients with proximal femoral fractures.

Methods: This retrospective study included 96 surgical patients with proximal femoral fractures. Nutritional intake was assessed by the energy intake ratio, calculated as energy intake divided by basal energy expenditure using the Harris–Benedict equation. Changes during the first postoperative week were analyzed by GLIM severity to evaluate dietitian intervention, ONS use, and factors affecting intake.

Results: Of the 96 patients, 23 were normal, 38 moderately malnourished, and 35 severely malnourished. Dietitian intervention showed no significant difference in energy intake ratio before or after surgery. Preoperative intervention tended to increase intake, especially in the normal (+0.204) and severe (+0.121) groups. Postoperatively, intake was slightly higher in the intervention group only in the severe group (+0.044). ONS use was associated with lower intake in the moderate group (0.683 vs. 1.198) but slightly higher intake in the severe group (1.200 vs. 1.156). In the moderate group, oral intake problems significantly reduced intake (0.92 vs. 1.15, P = 0.033), and nursing care–related problems showed a negative trend (0.96 vs. 1.15, P = 0.088).

Conclusion: The effects of nutritional intervention after proximal femoral fracture surgery may differ by GLIM severity. Nutritional intervention and ONS may benefit severely malnourished patients, whereas moderately malnourished patients may require a multifaceted approach addressing oral intake and nursing care issues.

Disclosure of Interest: None declared