Nutritional Intervention and Outcomes in Elderly After Hip Fracture Surgery

Launched by PEKING UNIVERSITY FIRST HOSPITAL · Jun 26, 2020

Keywords

ClinConnect Summary

This clinical trial is studying how giving nutritional support to elderly patients who are malnourished or at risk of malnutrition can affect their recovery after hip fracture surgery. Since hip fractures are common in older adults and often require surgery, the researchers want to find out if improving nutrition around the time of surgery can help reduce complications and improve survival rates in these patients.

To be eligible for this trial, participants need to be at least 70 years old, hospitalized with a hip fracture, and scheduled for surgery within 48 hours. They also must be identified as malnourished or at risk of malnutrition based on a simple assessment. Participants will receive nutritional support during their hospital stay and will be monitored for how well they recover. It's important to note that certain medical conditions or a history of specific illnesses may prevent someone from joining the study. This trial aims to enhance the care and outcomes for elderly individuals facing hip fracture surgery.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age ≥70 years old;
• • Hospitalized for hip fracture, scheduled to undergo hip-fracture surgery within 48 hours;
• • Classified as malnutrition or at risk of malnutrition according to the short form mini-nutrition assessment (MNA-SF);
• • Provide written informed consents.
• Exclusion Criteria:
• • Pathological fracture;
• • History of schizophrenia, epilepsy, Parkinson's disease, or myasthenia gravis before surgery;
• • Unable to communicate due to coma, severe dementia, or language barrier;
• • Unable to eat due to any disease in the gastrointestinal system;
• • Severe hepatic dysfunction (Child-Pugh class C), renal failure (requirement of renal replacement therapy), respiratory failure (requirement of respiratory support), cardiac insufficiency (New York Heart Association classification ≥IV), or American Socisty of Anesthesiologists classification ≥IV;
• • Preexisting organ injury before surgery (delirium, acute kidney injury, myocardial injury, etc.);
• • Other conditions that are considered unsuitable for study participation.