Evidence map›Paper›PMID 39517369›Full record

ArticleHealthcare (Basel, Switzerland)2024

Oral Nutritional Supplementation in Older Adults with a Hip Fracture-Findings from a Bi-National Clinical Audit.

Jack J Bell, Rebecca J Mitchell, Ian A Harris, Hannah Seymour, Elizabeth Armstrong, Roger Harris, Stewart Fleming, Sarah Hurring, Jacqueline Close

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2024. 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
–field-weighted citation impact
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.

  1. Observational
  2. Data resource profile: Australian and New Zealand Hip Fracture Registry (ANZHFR).Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2026
    Article
  3. Article
  4. Addressing Malnutrition in Australian Hospitals: A Scoping Review to Inform Systems Thinking.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Article
  5. Article
  6. Article
  7. Article
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

9 authors.

Jack J BellPrincipal Research Fellow, Allied Health Research Collaborative, The Prince Charles Hospital, Chermside, QLD 4032, Australia.ORCID 0000-0002-7217-3635
Rebecca J MitchellAustralian Institute of Health Innovation, Macquarie University, Level 6, 75 Talavera Road, Sydney, NSW 2109, Australia.ORCID 0000-0003-1939-1761
Ian A HarrisIngham Institute for Applied Medical Research, School of Clinical Medicine, UNSW Medicine and Health, UNSW, Sydney, NSW 2170, Australia.ORCID 0000-0003-0887-7627
Hannah SeymourFiona Stanley Hospital, Perth, WA 6150, Australia.ORCID 0000-0002-5774-1825
Elizabeth ArmstrongSchool of Population Health, UNSW, Sydney, NSW 2052, Australia.ORCID 0000-0001-5980-9697
Roger HarrisAustralian and New Zealand Hip Fracture Registry Steering Group, Auckland 1010, New Zealand.
Stewart FlemingOperaIT Pty Ltd., 3994 Pacific Highway, Loganholme, QLD 4129, Australia.
Sarah HurringTe Whatu Ora, Waitaha Canterbury New Zealand, Christchurch 8011, New Zealand.
Jacqueline CloseNeuroscience Research Australia, Sydney, NSW 2031, Australia.ORCID 0000-0003-2908-9507

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesEvidence-based guidelines and care standards recommend offering oral nutrition supplements to all older adults with hip fracture, not just those already malnourished. This study aimed to identify the proportion of inpatients in a sample of hospitals in two countries that were provided with oral nutritional supplementation (ONS) following a hip fracture and to identify factors associated with ONS provision.

methodsAn analysis of prospectively collected data from a bi-national Hip Fracture Registry nutrition sprint and registry audit data limited to older adults (≥65 years) undergoing surgical intervention for a fractured hip from 1 to 31 August 2021. Multivariable logistic regression was used to identify factors associated with providing ONS.

resultsPatient-level data was available for 385 older adults (median 85 years; 60.5% female) admitted to twenty-nine hospitals. Less than half (

conclusionsONS was provided in line with evidence-based recommendations for less than half of the older adults with a hip fracture in 29 hospitals in two countries. A structured approach to implementation may be required to reduce complications and improve outcomes for all older adults after a hip fracture, not just those assessed as cognitively impaired, frail, and/or malnourished.

Indexed as

clinical auditdietary supplementsfrailtyhip fractureshospitalsmalnutritionnutritional supportnutrition risk assessment

Identifiers

PMID39517369
PMCPMC11544824

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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.