22 results on '"J. Arkley"'
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2. PTU-061 Outcomes of paediatric liver transplant recipients following transition from paediatric to adult healthcare services
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P Lewis, Nidhi M. Sagar, James Ferguson, David H. Adams, J.A. Leithead, J Arkley, Patrick J. McKiernan, Deirdre Kelly, Bridget Gunson, and M Smith
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education.field_of_study ,medicine.medical_specialty ,Pediatrics ,business.industry ,medicine.medical_treatment ,Population ,Gastroenterology ,Retrospective cohort study ,Immunosuppression ,Autoimmune hepatitis ,medicine.disease ,Surgery ,Transplantation ,Calcineurin ,Regimen ,Biliary atresia ,medicine ,education ,business - Abstract
Introduction Given the success of paediatric transplantation, there is now a growing population of patients that undergo transition from paediatric to adult healthcare services. In the renal transplant setting, these patients appear to be at increased risk of short-term graft loss. 1 However, the outcome of liver transplant patients who undergo transition remains unclear. Our aim was, therefore, to examine the patient and graft survival of liver transplant patients who undergo paediatric to adult healthcare transition. Methods Single-centre retrospective study of 85 liver transplant recipients who underwent transition from paediatric to adult healthcare services between March 2001 and August 2011 (median follow-up time from transition 4.1 (range 0.2–10.7) years). Results During the 10-year period, there were 48 (56.5%) males and 37 (43.5%) females. The median age at time of transplant was 8.4 (range 0.6–17.9) years. The initial indications for transplantation were: biliary atresia (27.1%), Wilson9s (14.1%), other acute liver failure (11.8%), cystic fibrosis (9.4%), autoimmune hepatitis (8.2%), cryptogenic cirrhosis (4.7%), oxalosis (4.7%), other (20.0%). At the time of transition, the median age of the patients was 18.9 (range 16.6–23.1) years. 84.7% of patients were on their first graft, 12.9% were on their second and 2.4% were on their third at this point. The immunosuppression at transition was calcineurin inhibitor (CNI) monotherapy in 38.2%, a CNI combination regimen in 20.6%, and a CNI free regimen in 41.2%. Following transition, the estimated 1-, 5- and 10-year patient survival was 98.6%, 96.8% and 91.4%, respectively, and the estimated 1-, 5- and 10-year graft survival was 98.6%, 95.0% and 89.4%. Conclusion Our results demonstrate that paediatric liver transplant recipients have a better outcome than previously reported in renal transplant recipients after transition. 1 This may suggest that this group of patients are more tolerant of their graft or that transition was adequately managed. Competing interests None declared. Reference 1. Watson AR . Non-compliance and transfer from paediatric to adult transplant unit. Pediatr Nephrol 2000; 14 :469–72.
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- 2012
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3. Soil Moisture Use by Mixed Conifer Forest in a Summer-Dry Climate
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Rodney J. Arkley
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Agronomy ,Soil Science ,Environmental science ,Water content - Published
- 1981
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4. Characteristics of high boron soils in western Kern County
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G. R. Bradford, R. J. Arkley, F. T. Bingham, and N. T. Coleman
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inorganic chemicals ,Gypsum ,chemistry.chemical_element ,Soil science ,Zinc ,engineering.material ,complex mixtures ,Salinity ,chemistry ,Soil water ,engineering ,Aridisol ,Boron ,Geology ,Entisol ,Lime - Abstract
Ten soil profiles were selected from the major soil bodies under development for irrigated agriculture in Western Kern County for examination of properties and soil-forming processes in relation to crop capability and pretreatment needs. The soils were carefully examined in the field and sampled by genetic horizons for detailed examination of chemical-mineralogy properties. Unusually high amounts of salinity, alkali, and boron were found in subsurface horizons of practically all soils. Saturation extracts of some soils contained also unusually large concentrations of copper, iron, molybdenum, zinc, lithium, and selenium. The clays were found to be almost exclusively montmorillonitic. All soils contained lime and gypsum. Boron sorption-desorption characteristics were associated with hydroxy iron compounds rather than with aluminum. The relation between sorbed and soluble boron was adequately described mathematically with a Langmuir isotherm equation.
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- 1970
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5. The Origin of Mima Mound (Hogwallow) Microrelief in the Far Western States
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Herrick C. Brown and Rodney J. Arkley
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Soil Science ,Archaeology ,Geomorphology ,Geology - Published
- 1954
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6. Factor Analysis and Numerical Taxonomy of Soils
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Rodney J. Arkley
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Numerical taxonomy ,Multivariate statistics ,Varimax rotation ,Soil water ,Statistics ,Soil Science ,Solum ,Soil classification ,Texture (geology) ,Hue ,Mathematics - Abstract
A large computer and multivariate statistics were used to select a minimal number of soil properties with the greatest prediction value for use in soil classification. Key communality cluster analysis and principal axis factor analysis with Varimax rotation were applied to six sets of soil data containing from 21 to 66 profile characteristics. The analyses selected from four to seven factors or dimensions which were highly independent of each other and contained from two to four highly correlated soil properties. These factors accounted for 100% of the communality and 90% of the raw variance in all properties used in each set. In spite of the diversity of the soils (220 and 620 California, 59 and 86 World, and 148 Ohio soils) the same factors appeared repeatedly; i.e., properties related to reaction, hue and chroma, texture, color value and mottling, and profile differentiation in five analyses and solum thickness in four. Composite factor scores computed for each soil were also used for Numerical Taxonomy. The groupings formed were sufficiently similar to those of the New Classification System of the USDA to suggest that these methods may be very useful in soil classification. The use of these methods for the development of a coordinate system of soil classification is discussed.
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- 1971
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7. Relationships between plant growth and transpiration
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Rodney J. Arkley
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Hydrology ,Plant growth ,Environmental science ,Production (economics) ,Dry matter ,Soil fertility ,Constant (mathematics) ,Atmospheric sciences ,Atmospheric humidity ,Water use ,Transpiration - Abstract
The purpose of this paper is to establish principles for determining the quantitative relationships between climate and plant growth. It is known that the amount of dry matter produced by any plant and the water it transpires are proportional, and that this relation is constant for each plant species or variety under a given set of growing conditions. Using the experimental data of earlier workers, dry-matter production is plotted against water use—separately for each level of soil fertility—and equations are formulated to show the relationships under different conditions. This new analysis of the published data shows that a correction based on atmospheric humidity accounts for about 90 per cent of the variation in the ratio of dry-matter production to transpiration when soil fertility is constant, and that a correction for soil fertility accounts for about 75 per cent of the variation when climate is constant. These principles are applied to the interpretation of field experiments dealing with water use by plants. They may be useful in determining the most advantageous allocation of limited amounts of irrigation water in different climatic regions, and in many other ways.
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- 1963
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8. The use of calculated actual and potential evapotranspiration for estimating potential plant growth
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Rudolph Ulrich and Rodney J. Arkley
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Hydrology ,Crop ,Plant growth ,Irrigation ,Geography ,Moisture ,Evapotranspiration ,Potential evaporation ,Range (statistics) ,Precipitation - Abstract
Potential evaporation, ETp, can readily be calculated from monthly mean temperatures by means of tables and nomograms now available in the literature. Actual evapotranspiration, ETa, is calculated from ETp by taking precipitation and the water-holding capacity of the soil into account. Either value can be calculated for the whole year (ETp or ETa) if frost-tolerant plants are under consideration; or for the frost-free period (ETp 32° or ETa 32°) if frost-sensitive plants are under consideration. All four values—ETp, ETa, ETp 32°, and ETa 32°—were calculated for 211 California stations and for 27 Nevada and Oregon stations near California. Plotting these values for 25 stations along a traverse through central California and western Nevada reveals great differences from coast to inland stations, and from low to high altitudes. Comparison of the values with natural vegetation and with crops in the different regions indicates that the values are useful as indexes of expected growth of cultivated crops, range, and forest. ETp values are useful if moisture is not limiting, as in humid climates or where irrigation water is available; ETa values are useful for predicting the suitability of a climate for dry-farmed crops, estimating the potential for increased growth obtainable by irrigation, and for more precise studies of the effects of climate on natural vegetation. The indexes, used together, can be helpful in crop selection and other soil-management decisions. Isograms of the four ET values, based on all California stations and plotted on maps of the state, furnish much information about those climatic limitations on plant growth that involve moisture and temperature relations.
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- 1962
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9. CLIMATES OF SOME GREAT SOIL GROUPS OF THE WESTERN UNITED STATES
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Rodney J. Arkley
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Geography ,Soil Science - Published
- 1967
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10. Total content of nine mineral elements in fifty selected benchmark soil profiles of California
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R. J. Arkley, F. L. Bair, P. F. Pratt, and G. R. Bradford
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inorganic chemicals ,Soil series ,chemistry ,Molybdenum ,Magnesium ,Environmental chemistry ,Soil water ,Soil horizon ,chemistry.chemical_element ,Mineralogy ,Manganese ,Zinc ,Cobalt - Abstract
One hundred ninety-five soil horizons from 50 benchmark soil profiles in California were analyzed for total aluminum, magnesium, manganese, nickel, cobalt, copper, iron, molybdenum, and zinc by acid decomposition, resin column separation, and colorimetric methods. Half of the soil series contain low and possibly deficient levels of one or more of the following essential elements: cobalt, copper, molybdenum, manganese, and zinc. Four soil series profiles identified with alkali basins contain relatively high, and probably toxic, levels of molybdenum. Statistical analyses of the data show that soil series can be grouped on the basis of horizon development, differences between soil profiles or parent material and stratification, or combinations of these controlling influences. In most soils, two distinct groups of elements occur that are negatively correlated between groups and highly correlated positively within groups. Elements which appear most frequently in the same groups together are cobalt, copper, iron, magnesium, and often zinc. Molybdenum is generally negatively correlated with this group of elements.
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- 1967
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11. CHARACTERISTICS AND GENESIS OF SOME SOILS OF SAN MATEO COUNTY, CALIFORNIA
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Richard J. Wagner, Rodney J. Arkley, Rudolph Ulrich, and Reuben E. Nelson
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Geography ,Soil water ,Soil Science ,Archaeology - Published
- 1959
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12. CALCULATION OF CARBONATE AND WATER MOVEMENT IN SOIL FROM CLIMATIC DATA
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Rodney J. Arkley
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Climatic data ,Hydrology ,chemistry.chemical_compound ,chemistry ,Movement (music) ,Soil Science ,Carbonate ,Geology - Published
- 1963
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13. Statistical Methods in Soil Classification Research
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Rodney J. Arkley
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Numerical taxonomy ,Taxon ,Cophenetic correlation ,Soil water ,Soil science ,Ordination ,Soil classification ,Land area ,Mathematics - Abstract
Publisher Summary This chapter discusses the objectives and problems of soil classification. The classification of soil is done to understand the relationships among soils. It is assumed that soils fall into natural clusters or groups that can then be ordered into a classification. The chapter discusses the numerical taxonomy or cluster analysis of soils. Numerical taxonomy is the grouping by numerical methods of taxonomic units into taxa based on their character states. An approach is discussed for the examination of taxonomic structure—that is, ordination, which is normally used when the distribution of individuals in n-space tends to be continuous rather than in distinct clusters. Two kinds of ordination have been used in soil studies: Q-type ordination and R-type ordination. The chapter presents three statistical methods for comparing soil classification, including cophenetic correlation, coefficient of association, and Wilk's criterion. Cluster analysis of soils is a most effective means of classifying soils when the number of distinct soils or soil groups is limited as within a relatively small land area.
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- 1976
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14. Quantitative and Numercal Methods in Soil Classification and Survey
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Rodney J. Arkley
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Soil Science ,Environmental science ,Soil classification ,Soil science - Published
- 1978
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15. Urban Geology-Master Plan for California
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Rodney J. Arkley
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Geography ,Soil Science ,Urban geology ,Master plan ,Environmental planning - Published
- 1974
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16. Comments on 'Genesis of a Typic Durixeralf of Southern California'
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R. J. Arkley
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History ,Soil Science ,Environmental ethics ,Archaeology - Published
- 1981
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17. Soil Correlation: Can It Be Improved?
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R. J. Arkley
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Correlation ,Soil science ,Mathematics - Published
- 1967
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18. A distractions capture tool for cardiac surgery and lung transplantation: impact on outcomes.
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Arkley J, Ong LP, Gunaratnam N, Butt T, and Clark SC
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- Humans, Prospective Studies, Length of Stay, Postoperative Complications, Retrospective Studies, Lung Transplantation, Cardiac Surgical Procedures
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Objectives: Surgical distractions are associated with worse patient outcomes. Lung transplantation and cardiac surgery's multi-disciplinary nature, and their inherent complexities render them more vulnerable to distractions. We aim to use a novel distractions capture tool to evaluate the severity of distractions during cardiac surgery (CS) and lung transplantation (LTx) and assess its impact on post-operative complications., Methods: A prospective 'blinded' study was undertaken by direct observation of distractions during CS and LTx. Events were identified using the Imperial College Error Capture tool (ICECAP). Number and severity of distractions were correlated with post-operative outcomes (ICU & hospital stay, bleeding and anastomotic complications)., Results: In LTx, we observed 2059 distractions within 287 h across 41 surgeries. In CS, we observed 1089 distractions within 192 h across 62 surgeries. Surgeons were consciously aware of 19.2% (LTx) and 21.3% (CS) of recorded events. Distractions consisted of procedure-independent pressures (61% LTx vs 56% CS), equipment problems (15% LTx vs 23%CS), communication (12% LTx vs 12% CS), technical problems or patient safety concerns (12% LTx vs 9% CS). In CS, 91% of procedure-independent pressures were non-operative distractions whilst LTx recorded 83%. Staff absences at a critical moment of surgery were recorded at 9% (LTx) and 7% (CS). The number and severity of distractions correlated with bleeding (CS p < 0.001, LTx p < 0.01), prolonged ICU stay (CS p = 0.002, LTx p = 0.002), hospital stay (CS p < 0.001) and anastomotic complications(LTx p < 0.03)., Conclusions: ICECAP as a novel surgical distractions capture tool was effective & applicable to both elective cardiac and urgent transplant surgeries. Surgeons were unaware of a large number of distractions & interruptions. Distractions were associated with longer ICU stay and higher rate of bleeding., (© 2023. The Author(s).)
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- 2023
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19. 2020 in review.
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Hayanga JWA, Likosky DS, van Diepen S, Holst K, Whitson BA, Whitman G, Arkley J, Dunning J, and Arora RC
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- Humans, Hospital Mortality, Opioid Epidemic, Recovery of Function, Analgesics, Opioid adverse effects, Analgesics, Opioid therapeutic use, Cardiac Rehabilitation, Cardiopulmonary Resuscitation, Coronary Artery Bypass adverse effects, Coronary Artery Bypass rehabilitation, Intensive Care Units, Opioid-Related Disorders diagnosis, Opioid-Related Disorders epidemiology, Out-of-Hospital Cardiac Arrest diagnosis, Out-of-Hospital Cardiac Arrest physiopathology, Out-of-Hospital Cardiac Arrest therapy, Personnel Staffing and Scheduling
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- 2021
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20. Too Cool? Hip Fracture Care and Maintaining Body Temperature.
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Arkley J, Taher S, Dixon J, Dietz-Collin G, Wales S, Wilson F, and Eardley W
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Introduction: Patients with hip fractures can become cold during the perioperative period despite measures applied to maintain warmth. Poor temperature control is linked with increasing complications and poorer functional outcomes. There is generic evidence for the benefits of maintaining normothermia, however this is sparse where specifically concerning hip fracture. We provide the first comprehensive review in this population., Significance: Large studies have revealed dramatic impact on wound infection, transfusion rates, increased morbidity and mortality. With very few studies relating to hip fracture patients, this review aimed to capture an overview of available literature regarding hypothermia and its impact on outcomes., Results: Increased mortality, readmission rates and surgical site infections are all associated with poor temperature control. This is more profound, and more common, in older frail patients. Increasing age and lower BMI were recognized as demographic factors that increase risk of hypothermia, which was routinely identified within modern day practice despite the use of active warming., Conclusion: There is a gap in research related to fragility fractures and how hypothermia impacts outcomes. Inadvertent intraoperative hypothermia still occurs routinely, even when active warming and cotton blankets are applied. No studies documented temperature readings postoperatively once patients had been returned to the ward. This is a point in the timeline where patients could be hypothermic. More studies need to be performed relating to this area of surgery., Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (© The Author(s) 2020.)
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- 2020
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21. Assessment of Nutrition and Supplementation in Patients With Hip Fractures.
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Arkley J, Dixon J, Wilson F, Charlton K, Ollivere BJ, and Eardley W
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Introduction: Malnutrition is common in older people, is known to interact with frailty, and is a risk factor for wound complications and poor functional outcomes postoperatively. Sustaining a hip fracture is a significant life event, often resulting in a decline in mobility and functional ability. A poor nutritional state may further impede recovery and rehabilitation, so strategies to improve perioperative nutrition are of considerable importance. We provide a review of nutritional supplement practices in this vulnerable and growing population., Method: Systematic review of preoperative oral nutritional supplementation (ONS) in hip fracture patients., Results: We identified 12 articles pertaining to this important area of perioperative care. The findings suggest postoperative ONS can improve postoperative outcomes in hip fracture patients, especially in terms of increasing total serum protein, improving nutritional status to near-optimum levels, and decreasing postoperative complications., Discussion: There is an absence of evidence specific to preoperative ONS in patients admitted following hip fracture. Literature relating to other populations is encouraging but is yet to be robustly studied. It is unclear whether these results are generalizable to the frailer hip fracture population. There is a need for studies clearly defining outcome measurement and complication assessment pertaining to preoperative ONS. The potential benefit is considerable, and this review will provide a means to inform the construction of meaningful trials in preoperative ONS of patients sustaining hip fracture., Conclusion: Oral nutritional supplementation in hip fracture patients may decrease postoperative complications while increasing elderly patient's nutritional state to a near-optimum level. This is extrapolated from postoperative literature, however with a clear gap in research pertaining specifically to preoperative care. The need for well-constructed studies focused on the impact and assessment of early ONS in this population is transparent., Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (© The Author(s) 2019.)
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- 2019
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22. Nutrition in Hip Fracture Units: Contemporary Practices in Preoperative Supplementation.
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Dixon J, Channell W, Arkley J, and Eardley W
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Introduction: Patients with hip fractures pose a significant burden on health services. Malnutrition, frailty, and cognitive impairment are common, and key to addressing the needs of this vulnerable patient group is nutrition optimization, including reduction in arbitrary nil by mouth (NBM) perioperative regimens. In order to understand current practices, we characterize preoperative nutrition in a regional hip fracture population., Methods: Prospective data were submitted to the National Hip Fracture Database by 6 hospitals in the north east of England over a 6-month period. Patients were stratified by preoperative nutritional intake, frailty, and cognitive function., Results: In all, 24.2% (n = 205) patients received no oral intake at all preoperatively; 15.3% of NBM patients were at risk of malnutrition; and 6.9% were malnourished at the time of assessment. Median time to surgery for NBM patients was 16.75 hours, and 6.34% of patients were fasted with no intake for >36 hours. In all, 6.5% (n = 44) of patients with an Abbreviated Mental Test Score (AMTS) of 8 or above were deemed to be at risk of malnutrition at admission, compared to 11.3% (n = 50) of patients with an AMTS of 7 or below. The NBM patients had similar mean Rockwood (4.97) and AMTS (6.51) scores to patients given oral nutrition., Conclusion: We have demonstrated contemporary preoperative nutritional practices in the management of over 800 hip fracture patients. Contrary to perception, nutrition practices vary little when stratified for age, cognition frailty, or comorbid burden. We have identified widespread prolonged NBM fasting and undersupplementation in patients sustaining hip fracture across a region. This work suggests a need to focus less on patient factors and more on systematic practices., Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Published
- 2019
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