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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
50
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.
RabinMC
Petah Tikva, Israel
Rate of postoperative complications
incidence of postoperative complications following admission up to day 14/or hospital discharge and length of hospital stay will be evaluated
Time frame: up to day 14
Energy balance
energy intake and calculated energy balance.
Time frame: prior to surgery and up to 14 day
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