Active approach to acute hospitalised geriatric patient for preventing muscle loss and self-sufficiency
Authors:
Z. Dědková; P. Hegerová; B. Jurašková; L. Sobotka
Published in:
Geriatrie a Gerontologie 2017, 6, č. 2: 69-74
Category:
Original Article/Study
Overview
Background & aims:
Any acute disease in elderly patients often leads to the loss of muscle mass and self-sufficiency. Recovery of muscle tissue is difficult and thus an acute illness can lead to the need of other persons help. The aim of our study was to determine whether an early physiotherapy and nutritional supplementation affects the development of sarcopenia and patient´s self-sufficiency during the acute illness.
Methods:
200 patients over 78 years of age, admitted to geriatric department with an acute illness were enrolled in a prospective, controlled study. Patients were randomized to the control and the intervention group. The intervention consisted of providing nutritional supplements and simultaneously an intensive rehabilitation therapy. Patients were followed for 2 years after discharge.
Results:
Nutritional supplements usage led to an increased daily total energy and protein intake, while the daily intake of normal diet was not reduced. Combination of nutritional support and physiotherapy prevented the loss of muscle mass and muscle strength. Self-sufficiency in the intervention group showed a smaller decline than in the control group during the two-year follow-up period.
Conclusion:
The results of our prospective randomized study have shown that early administration of nutrition supplements together with an early rehabilitation mitigate the loss of muscle mass and muscle strength in acutely admitted older patients and thus prolongs the period of self-sufficiency.
KEYWORDS:
geriatric patient – acute illness – early nutritional support – early rehabilitation – self-sufficiency – muscle mass
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Labels
Geriatrics General practitioner for adults Orthopaedic prostheticsArticle was published in
Geriatrics and Gerontology
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