Evidence map›Paper›PMID 40025561›Full record

ArticleJournal of orthopaedic surgery and research2025

Importance of hospital food intake for early discharge after total hip arthroplasty for osteoarthritis: a propensity score matching analysis.

Hiroki Saito, Kensuke Fukushima, Kentaro Uchida, Yoshihisa Ohashi, Naonobu Takahira, Masashi Takaso

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hiroki SaitoDepartment of Orthopaedic Surgery, Kitasato University School of Medicine, 1-15-1 Minami- ku, Kitasato, Sagamihara City, 252-0374, Kanagawa, Japan.
Kensuke FukushimaDepartment of Orthopaedic Surgery, Kitasato University School of Medicine, 1-15-1 Minami- ku, Kitasato, Sagamihara City, 252-0374, Kanagawa, Japan. kenfu@r4.dion.ne.jp.
Kentaro UchidaDepartment of Orthopaedic Surgery, Kitasato University School of Medicine, 1-15-1 Minami- ku, Kitasato, Sagamihara City, 252-0374, Kanagawa, Japan.
Yoshihisa OhashiDepartment of Orthopaedic Surgery, Kitasato University School of Medicine, 1-15-1 Minami- ku, Kitasato, Sagamihara City, 252-0374, Kanagawa, Japan.
Naonobu TakahiraDepartment of Rehabilitation, Kitasato University School of Allied Health Sciences, 1-15-1 Minami-ku, Kitasato, Sagamihara City, 252-0374, Kanagawa, Japan.
Masashi TakasoDepartment of Orthopaedic Surgery, Kitasato University School of Medicine, 1-15-1 Minami- ku, Kitasato, Sagamihara City, 252-0374, Kanagawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal hip arthroplasty (THA) is widely used to treat hip osteoarthritis (HOA), particularly in elderly patients. However, the associated costs and complications highlight the need for strategies to shorten hospital stays and optimise postoperative outcomes. This study aimed to investigate the effect of preoperative nutritional status and postoperative dietary intake on the discharge outcomes of patients with unilateral HOA who underwent THA.

methodsA retrospective analysis of 57 patients without significant comorbidities out of 172 THA procedures performed by the same surgeon was conducted. Propensity score matching was used to compare the early discharge group (n = 14), discharged within 2 weeks, with the delayed discharge group (n = 14), hospitalised for longer. The assessed factors included preoperative Controlling Nutritional Status (CONUT) scores, postoperative dietary intake (staple foods and side dishes), and complications.

resultsPreoperative malnutrition, as assessed using the CONUT score, showed no significant difference between the groups. The early discharge group exhibited a higher intake of staple foods (rich in carbohydrates) in the early postoperative phase than the delayed discharge group, potentially influencing earlier discharge. No significant difference was observed in side dish intake between the two groups. The incidence of complications did not differ between the two groups.

conclusionHigher intake of staple foods in the early postoperative period may positively impact metabolic demands and wound healing, suggesting the importance of dietary strategies in postoperative rehabilitation. Ensuring adequate hospital meal consumption and implementing effective dietary guidance and education are crucial for optimising recovery and reducing hospital stay. This study highlights that postoperative feeding strategies, especially staple food intake, may have a positive impact on early discharge in THA patients. Future studies should explore the benefits of long-term nutritional interventions and the role of continuous dietary education in enhancing postoperative recovery.

Indexed as

Arthroplasty, Replacement, HipEatingOsteoarthritis, HipPatient DischargePropensity ScoreAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedNutritional StatusPostoperative ComplicationsRetrospective StudiesTime FactorsDietary intakeHip osteoarthritisHospital dischargeNutritionOrthopaedic surgeryTotal hip arthroplasty

Identifiers

PMID40025561
PMCPMC11871832

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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.