Cochrane · systematic review · CD001880
Nutritional supplementation for hip fracture aftercare in older people
Avenell, A, Smith, TO, Curtain, JP, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
Bone, Joint and Muscle TraumaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
6
No studies
2
Included studies
NR
No studies 2 · 25%Ungraded 0 · 0%Very low 4 · 50%Low 2 · 25%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Multinutrient supplements (oral) versus control for hip fracture aftercare in older people
Population: Older people undergoing hip fracture aftercare
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality by end of study Multinutrient supplements (oral) vs control | RR 0.81 [0.49, 1.31] | 15 studies · 968 participants | Low Downgraded: risk of bias, imprecision |
Participants with complications (e.g. pressure sore, chest infection) at end of study Multinutrient supplements (oral) vs control | RR 0.71 [0.59, 0.86] | 11 studies · 727 participants | Low Downgraded: risk of bias |
Unfavourable outcome 7 by end of study Multinutrient supplements (oral) vs control | RR 0.67 [0.51, 0.89] | 6 studies · 334 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Putative side effects of treatment (e.g. vomiting and diarrhoea) Multinutrient supplements (oral) vs control | RR 0.99 [0.47, 2.05] | 6 studies · 442 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Multinutrient supplements (nasogastric) versus control for hip fracture aftercare in older people
Population: Older people undergoing hip fracture aftercare
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality by end of study Multinutrient supplements (nasogastric) vs control | RR 0.99 [0.5, 1.97] | 3 studies · 280 participants | Very low Downgraded: risk of bias, inconsistency |
Participants with complications (e.g. pressure sore, aspiration pneumonia) at end of study Multinutrient supplements (nasogastric) vs control | RR 1.09 [0.73, 1.64] | 1 study · 18 participants | Very low Downgraded: risk of bias, imprecision |
Unfavourable outcome Multinutrient supplements (nasogastric) vs control | no estimate extracted | NR | No studies |
Putative side effects of treatment (e.g. aspiration pneumonia) Multinutrient supplements (nasogastric) vs control | no estimate extracted | NR | No studies |