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The effect of perioperative nutritional therapy on the cognitive functions and nutritional status in elderly patients with femoral neck fracture

Mücahit Taflan, Ahmet Şen, Başar Erdivanli.




Abstract
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Aim: Femoral neck fracture is a common condition in the elderly. The catabolic state due to the neurohumoral response, and poor nutrition is a threat to the fitness, immune system and cognitive functions in this age group. This study investigated the effect of a pragmatic nutritional therapy on laboratory markers of nutritional status, cognitive functions and postoperative complications in elective geriatric patients with femoral neck fracture.
Methods: A total of 47 patients were randomized into two groups: Study group was audited two times a day to ensure administration of 30 kcal/kg/day calorie and 1 mg/kg/day protein. Control group received standard hospital care. Complete blood count and routine biochemistry tests, Mini mental test scores and triceps skinfold thickness were obtained at the day of admission to the study before the day of surgery and on the 5th postoperative day. Blood products and postoperative complications were recorded.
Results: Postoperative Mini mental test scores were higher in the Study group (p

Key words: Aged, 65 and over; Femoral Neck Fractures / mortality; Humans; Male; Female; Medical Audit; Perioperative Care / methods; Postoperative Complications; Quality Improvement; Treatment Outcome






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