Enhancing Perioperative Oral Nutritional Supplements in Elderly Hip Fracture Patients: A Pilot Project on Evidence-Based Practice.

Overall compliance with review indicators improved significantly after implementation of the evidence-based practice protocol.

• Overall compliance increased from 0–10.7% at baseline to 25–100% post-implementation (P < 0.05).
• The study used an evidence-based continuous quality improvement model to translate evidence into review indicators and implementation plans.
• A baseline audit was conducted to identify barriers and facilitators before developing a targeted action plan.
• Implementation occurred from January 2024 to October 2024.

Medical staff knowledge scores on nutrition and related topics increased significantly after the intervention.

• Knowledge scores increased from 61.07 ± 12.36 at baseline to 85.57 ± 16.89 post-implementation.
• The improvement was statistically significant (t = 6.195, P < 0.001).

Discharged patients showed significantly lower nutritional risk and NRS2002 scores after implementation.

• Both nutritional risk and NRS2002 discharge scores were significantly reduced post-implementation (P < 0.05).
• 49 cases were analyzed before implementation and 44 cases after implementation.
• NRS2002 is a nutritional risk screening tool used to assess patients at discharge.

Prognostic nutritional index (PNI) improved significantly in discharged patients after the intervention.

• PNI improvement was statistically significant (P < 0.05).
• PNI is a composite nutritional outcome measure used to assess patients' nutritional and immune status.
• This improvement was observed alongside reduced nutritional risk at discharge.

Discharge serum albumin levels increased and both length of hospital stay and number of complications decreased, but these changes did not reach statistical significance.

• Although serum albumin levels at discharge increased post-implementation, the change was not statistically significant.
• Length of hospital stay decreased post-implementation but did not reach statistical significance.
• Number of complications decreased post-implementation but did not reach statistical significance.
• The authors note these trends as potentially clinically meaningful despite lack of statistical significance.

The pilot project demonstrated that implementing an evidence-based perioperative ONS protocol in elderly hip fracture patients is both feasible and effective.

• The study population consisted of elderly patients with hip fractures in a perioperative setting.
• The evidence-based continuous quality improvement model was used to synthesize best available evidence with the specific clinical context.
• Outcomes compared included medical staff knowledge, NRS2002 scores, nutritional risk, serum albumin, PNI, length of hospital stay, complications, and adherence to review indicators.
• The intervention was incorporated into routine clinical practice over a 10-month period.