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Tight Caloric Balance in Geriatric Patients (TICACOSiGP)

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Clalit Health Services

Status

Completed

Conditions

Nutrition Assessment

Treatments

Other: Indirect Calorimetry

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

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.

Full 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.

Enrollment

50 patients

Sex

All

Ages

65+ years old

Volunteers

No Healthy Volunteers

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.

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

50 participants in 2 patient groups

Group 2 (Control group)
No Intervention group
Description:
Group 2(Control group)-patients in this group received nutrition according to the standard hospital dietary regimen.
Group 1 (Indirect Calorimetry)
Experimental group
Description:
Group 1(Indirect Calorimetry)-The tight calorie group received calories with an energy goal determined by repeated REE measurements using indirect calorimetry.
Treatment:
Other: Indirect Calorimetry

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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