Nutrition Assessment
Conditions
Keywords
geriatric patients, nutritional support
Brief summary
The aim of this study to assess the impact of nutritional support guided by repeated measurements of REE in geriatric patients following surgery for hip fractures. Our hypothesis is that tight caloric control will reduce the risk of significant postoperative complications in geriatric patients following surgery for hip fractures. Study Design :Prospective, Single center, Randomized, Unblinded study. Study Population:geriatric patients following surgery for hip fractures.
Detailed description
The primary outcome: presence of postoperative complications,hospital length of stay. Secondary outcomes: energy intake and calculated energy balance Study Procedure: eligible patients will be randomly assigned to 2 groups: the tight calorie (intervention)group and the control group.
Interventions
OTHERIndirect Calorimetry
The tight calorie group received calories with an energy goal determined by repeated REE measurements using indirect calorimetry. IC measurements:after a fasting period of at least 6 hours at three time periods : on admission to the study,between 24-48 hours following surgery and on the 7th day of the study.Measurements were performed by an experienced nurse or dietician,the device was automatically calibrated before each measurement and the REE was recorded after 15 minutes.
Sponsors
Rabin Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
patients older than 65 years who were admitted to the unit following hip fracture within 48 hours of the injury and in whom orthopedic surgery was considered the treatment of choice.
Exclusion criteria
Patients were excluded if they presented to hospital \> 48 hours after the injury, were receiving steroids and/or immunosuppression therapy; in the presence of active oncologic disease, multiple fractures, diagnosed dementia or in the event that patients required supplemental nasal oxygen which precludes the measurement of resting energy expenditure.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of postoperative complications | up to day 14 | incidence of postoperative complications following admission up to day 14/or hospital discharge and length of hospital stay will be evaluated |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Energy balance | prior to surgery and up to 14 day | energy intake and calculated energy balance. |
Countries
Israel
Outcome results
None listed