About this trial
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 criteria
Qualifiers
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
Disqualifiers
Patients requiring preoperative intensive care
Patients unable to tolerate enteral nutrition
Patients with advanced liver or kidney failure
Patients unable to cooperate
Trial design
Treatments tested in this trial
- Oral Nutritional Supplement (ONS)