Preoperative Oral Nutrition And Outcomes In Frail Elderly Patients With Femur Fractures

Sponsor
Duzce University
Study ID
NCT07463352
Status
Recruiting
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Conditions

  • Femoral Fractures
  • Frailty
  • Malnutrition

Eligibility Criteria

Sex
ALL
Age
65 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Oral Nutritional Supplement (ONS) — DIETARY_SUPPLEMENT
    Standard preoperative oral nutritional supplements recommended by the hospital nutrition clinic are provided to frail elderly patients with femur fractures during their orthopedic ward stay before surgery. Supplements are given according to routine clinical practice and are not assigned by the investigators.

Study Details

The goal of this observational study is to learn whether preoperative oral nutrition support improves clinical outcomes in elderly patients with femur fractures who have a high frailty index. The main questions it aims to answer are: * Does preoperative nutrition support improve hemodynamic stability during and after surgery? * Does it reduce postoperative complications, mortality, and length of hospital stay? Researchers will compare patients who receive preoperative oral nutrition support with those who follow routine nutrition. Participants will: * Receive routine medical care with or without nutrition support * Have their hemodynamic values, complications, and outcomes recorded during hospitalization * Be followed at 30 and 90 days after surgery for complications and mortality.

Key Dates

First listed
Mar 11, 2026
Start date
Mar 12, 2026
Status verified
Jun 2026
Primary completion
Jan 1, 2027
Completion
Jan 1, 2027

Study Design

Enrollment
228 participants (estimated)

Arms

  • Arm: Group 1: Patients receiving preoperative oral nutritional support in the orthopedic ward.
    Elderly patients with femur fractures and high frailty who receive preoperative oral nutritional supplements in the orthopedic ward according to routine nutrition clinic recommendations. Patients are followed perioperatively and postoperatively for hemodynamic stability, complications, and mortality.
  • Arm: Group 2: Patients followed with routine dietary intake without additional nutritional support.
    Elderly patients with femur fractures and high frailty who continue their usual diet without additional nutritional support before surgery. Patients are followed with the same perioperative and postoperative outcome measurements for comparison.

Primary Outcome Measure

Change in Pleth Variability Index (ΔPVI) [ Time Frame: perioperatively/periprocedurally ]

Central Contacts

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