RecruitingNCT07463352

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

Evaluation of the Effects of Preoperative Oral Nutritional Support on Hemodynamic Stability, Morbidity, Mortality, and Anthropometric Measurements in Patients With Femur Fractures and High Frailty Index: A Prospective Observational Study

Sponsor

Duzce University

Enrollment

228 participants

Start Date

Mar 12, 2026

Study Type

OBSERVATIONAL

Conditions

Frailty Malnutrition Femoral Fractures

Summary

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.

Eligibility

Min Age: 65 Years

Inclusion Criteria3

Patients aged 65 years or older hospitalized with a diagnosis of femur fracture
High frailty index (Clinical Frailty Scale ≥ 5)
Patients expected to require postoperative intensive care

Exclusion Criteria7

Patients requiring preoperative intensive care
Patients unable to tolerate enteral nutrition
Patients with advanced liver or kidney failure
Patients unable to cooperate
Patients with neuromuscular disease
Patients with severe malnutrition according to NRS-2002 guidelines
Patients who refuse to participate

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Interventions

DIETARY_SUPPLEMENTOral Nutritional Supplement (ONS)

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.