Evidence map›Paper›PMID 27343214›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2016

Management of malnutrition in geriatric trauma patients: results of a nationwide survey.

D Eschbach, T Kirchbichler, L Oberkircher, M Knobe, M Juenemann, S Ruchholtz, B Buecking

Abstract readMulticenter Study
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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
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  7. Focus on co-management in geriatric fracture care.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

D EschbachCenter for Orthopaedics and Trauma Surgery, Philipps-University of Marburg, Baldinger Str, 35043, Marburg, Germany. eschbach@med.uni-marburg.de.ORCID http://orcid.org/0000-0003-4626-6237
T KirchbichlerCenter for Orthopaedics and Trauma Surgery, Philipps-University of Marburg, Baldinger Str, 35043, Marburg, Germany.
L OberkircherCenter for Orthopaedics and Trauma Surgery, Philipps-University of Marburg, Baldinger Str, 35043, Marburg, Germany.
M KnobeDepartment of Orthopedic and Trauma Surgery, Medical Faculty, RWTH Aachen University, 30 Pauwelsstreet, 52074, Aachen, Germany.
M JuenemannDepartment of Neurology, Justus-Liebig-University of Gießen, Klinikstr. 33, 35385, Giessen, Germany.
S RuchholtzCenter for Orthopaedics and Trauma Surgery, Philipps-University of Marburg, Baldinger Str, 35043, Marburg, Germany.
B BueckingCenter for Orthopaedics and Trauma Surgery, Philipps-University of Marburg, Baldinger Str, 35043, Marburg, Germany.
Philipps University of Marburg · DEJustus-Liebig-Universität Gießen · DERWTH Aachen University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrevalence of malnutrition in geriatric trauma patients ranges between 30 and 50 % in Germany. Malnutrition is associated with impaired wound healing, a prolonged in-hospital stay, reduced post-traumatic mobility, as well as a higher mortality. Thus, detection and improvement of nutritional status could be a fundamental contribution in optimizing the treatment of these patients.

methodsWe sent a web-based questionnaire to 579 German hospitals with traumatological expertise, seeking information on the institutional care level, number of beds, use of nutritional assessments, and use of defined laboratory parameters for the detection of malnutrition. Furthermore, we focused on the presence and frequency of nutrition ward rounds on the intensive care unit.

resultsWe received 151 answers. Nutritional status was analysed in one-third (N = 50). The half of these 50 clinics (54 %, N = 27) were using the body mass index (BMI), 20 % (N = 10) were using the nutritional risk screening (NRS), and 14 % (N = 7) used the mini nutritional assessment. 38 hospitals indicated a regular nutrition ward round; 63 % of them occurred daily, 13 % had a weekly frequency, and 24 % were on demand. Laboratory parameters were used inhomogeneously. Except for the more frequent use of the NRS (p = 0.026) in local trauma centres, we found no significant difference in the detection of malnutrition according to the care level.

conclusionsAlthough we know malnutrition is a frequent condition in geriatric patients, a minority of clinics considered it. The BMI and the NRS showed acceptance in practice; other parameters were used inhomogeneously. Although these findings may be limited in their significance, they indicate that the detection of malnutrition needs further investigation.

Indexed as

Geriatric AssessmentHealth Services for the AgedNutritional StatusNutrition AssessmentAgedAged, 80 and overBody Mass IndexComorbidityFemaleGermanyHealth SurveysHospitalizationHumansLength of StayMaleMalnutritionElderlyGeriatric traumaMalnutritionScreening for malnutrition

Identifiers

PMID27343214
OpenAlexW2463989074

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.