PP239-SUN GASTRIC NON-COAGULATION OF ENTERAL TUBE FEED YIELDS FASTER GASTRIC EMPTYING OF PROTEIN IN A DYNAMIC IN VITRO MODEL

Abstract

and immobilisation increase nutritional risk. The aim of this study was to introduce a standard plan to improve nutrition intake. Methods: A standard plan was made including better logistics, peroral maltodextrin on days with fasting and peripheral parenteral nutrition (800 kcal/38 gr. protein). A two-week recording of food intake of all patients with fracture of the femoral neck, was made before and after introduction. Setting: 30 beds for acute and elective lower limb orthopaedic surgery. Statistics: Students T-test and Chi-squared test. Results: Nutrition registrations were made in 37 patients, 11 M, 25 F (185 registration days) pre-measurement group (pre-g), and 33 patients, 8 M, 25 F (144 reg. days) post measurement group (post-g). Mean energy-intake (e): 1116 kcal (SD 334.7) and mean protein-intake (p): 36 g (SD 1.8) pre-g, while the post-g had a mean e-intake of 1190 kcal (SD 465.9) and 42 g p (SD 19.9). The post-g showed a tendency to increased intake compared to the pre-g (ns). Nutrition intake in both groups was low compared to requirements (p < 0.001). In the pre-g, e-intake covered 61% (SD 19.5) of requirements, vs. 67% (SD 29.6) post-g, and p-requirements in 44% (SD 14.1) before vs. 53% (SD 25.2) after. Individually, 38% had less than 50% of e-requirements before vs. 27% after the intervention. No significant difference was seen regarding LOS or six months survival. Maltodextrin and parenteral nutrition was to a higher degree used, however randomly, compared to the strict standard. Conclusion: Implementation of a standard plan including maltodextrin and parenteral nutrition in hip fracture patients failed to increase intake significantly. Focus on the implementation procedure is mandatory.