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. 2009 Apr 15;2009(2):CD003288. doi: 10.1002/14651858.CD003288.pub3

Tidermark 2004.

Methods Method of randomisation: opaque sealed envelope‐ allocation concealment: A 
 Assessor blinding: unclear for some outcomes 
 Intention to treat: carried out 
 Lost to follow‐up: intervention 1; control 2 
 Timing of the intervention: 6 months
Participants Location: Stockholm, Sweden 
 Period of study: Prior to October 2002 
 Number of patients: 40 
 Inclusion criteria: Females with acute femoral fracture, > 70 years, BMI less than or equal to 24 kg/m2, absence of severe cognitive disfunction, independent living status and independent walking capability with or without walking aids 
 Exclusion criteria: Patients with fractures not suitable for internal fixation and patients with rheumatoid arthritis or radiographic osteoarthritis 
 Sex: 40 female 
 Age: 83.5 (SD 6.1), 84.1 (SD 4.3)
Interventions a: Fortimel 200 ml/day, 20 g Protein, plus 1g Calcium and 400 IU Vitamin D 
 b: usual nutritional care plus1g Calcium and 400 IU Vitamin D 
 Allocated: 20/20 
 Assessed: 18/17
Outcomes Length of follow‐up: 12 months 
 Main outcomes: mortality, length of hospital stay during first year after surgery, complications, mobility, activities of daily living, hand grip strength, adverse effects, quality of life 
 Additional outcomes: compliance 
 Measures of nutritional status‐ weight, LBM
Notes Also looked at the effects of nandrolone in a third arm of the trial 
 Classified as undernourished, acute admission and living in the community. 
 Further details required regarding details of intervention
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate