This study is a randomized controlled trial comparing outcomes between geriatric hip fractures who received a commercially available (XR RecoveryTM, Salt Lake City Utah) peri-operative nutritional supplement for three weeks post-operatively to those who receive standard nutritional counseling. The main question it aims to answer is: \- Does supplementation decrease muscle loss via ultrasound measurements of the cross-sectional area of the rectus femoris of the uninjured leg?
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
118
Participants will receive a total daily dosage of 59.2 grams of XR™ Recovery Supplement orally, divided into two doses of 29.6 grams each (or two pouches). The dosing regimen will begin upon hospital admission and continue for three weeks post-operatively.
2 packets of XR Carbohydrate Loading will be administered the evening before surgery and one packet on the day of surgery up to 2 hours prior to the scheduled operating time. The powder will be mixed with 14 oz of room temperature water only until dissolved then may be served over ice for desired temperature of consumption by the participant.
NYU Langone Health
New York, New York, United States
RECRUITINGPercentage change in muscle loss, as measured by the cross-sectional area of the rectus femoris muscle
Outcome measure will be measured using ultrasound imaging.
Time frame: Baseline, Visit 7 (1 year post operation)
Number of inpatient complications related to the surgical procedure for hip fractures
Time frame: From admission (visit 1) until discharge (~72 hours post-operation)
Number of wound complications
Complications include infection and bleeding.
Time frame: Visit 5, up to 6 months
Length of hospital stay
Time frame: From admission (visit 1) until discharge (~72 hours post-operation)
Rate of readmission
Time frame: Visit 7 (1 year post operation)
Mortality Rate
Time frame: Visit 7 (1 year post operation)
Change in the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) score
A PROMIS PF score is a measurement of physical function that ranges from 0 to 100. The average score is 50, with a standard deviation of 10. A score of 40 is considered below average, indicating decreased physical function, while a score of 60 is considered above average, which indicates increased physical function.
Time frame: Baseline, Visit 7 (1 year post operation)
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