Prognostic Potential of the Preoperative Nutritional Status and Its Postoperative Variation in Patients Undergoing Hip Arthroplasty
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Change from baseline level of hemoglobin at 14 days after surgical operation
Overview
Brief Summary
Data literature lacks of evidence concerning the variation of the nutritional status in patients undergoing hip surgery, thus preventing an effective application a nutritional support program. It is therefore necessary to start identifying the clinical steps (pre-operative and post-operative) that may be defined as critical control points for malnutrition. The observation should foresee the identification of nutritional status indicators, such as weight, hemoglobin, albumin, food intake, and others that might affect a proper recovery. This study aims to investigate the prognostic nutritional factors that might influence clinical outcomes, and their variation in relation to hospitalization and rehabilitation periods.
Detailed Description
Data literature lacks of evidence concerning the variation of the nutritional status in patients undergoing hip surgery, thus preventing an effective application a nutritional support program. It is therefore necessary to start identifying the clinical steps (pre-operative and post-operative) that may be defined as critical control points for malnutrition. Patients undergoing hip surgery would be enrolled before the surgical operation and would be evaluated three times: preoperative, postoperative, and after discharge. The observation should foresee the identification of nutritional status indicators, such as weight, hemoglobin, albumin, food intake, and others that might affect a proper recovery. This study aims to investigate the prognostic nutritional factors that might influence clinical outcomes, and their variation in relation to hospitalization and rehabilitation periods.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 60 Years to 85 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •caucasian
- •arthroplasty intervention program with hip prosthesis placement
- •signature and acceptance of informed consent to collaborate in all the procedures necessary for the study
Exclusion Criteria
- •heart failure stage III-IV
- •renal failure stage III-IV
- •actual cancer
- •past neurological disorders (including, but not limited to cerebral ischemia, cerebral haemorrhages, brain tumors, endocranial aneurysms)
- •neurodegenerative disorders (including, but not limited to Alzheimer's dementia, fronto-temporal dementia)
- •actual major psychopharmacological therapies
- •pregnancy certified by self-declaration
- •inability to adhere to the rehabilitation protocol or to carry out the controls
- •non-acceptance of informed consent
- •revision interventions
Outcomes
Primary Outcomes
Change from baseline level of hemoglobin at 14 days after surgical operation
Time Frame: Before the surgical operation, after 3 days, after 14 days.
One of the main decision-making factors that guide the clinician to discharge the patient is the hemoglobin level. The association between preoperative hemoglobin and hemoglobin at discharge was already observed in past orthopedic cohorts, with a loss of 3.3 g/dl being considered clinically relevant. Patients with a better nutritional status may have a reduced fall in hemoglobin after the surgical operation.
Secondary Outcomes
- Change from baseline of weight 14 days after surgical operation(Before the surgical operation, after 3 days, after 14 days.)
- Change from baseline level of vitamin D at 14 days after surgical operation(Before the surgical operation, after 3 days, after 14 days.)
- Change from baseline of hand-grip strength at 14 days after surgical operation(Before the surgical operation, after 3 days, after 14 days.)
- Change from baseline level of total lymphocyte count at 14 days after surgical operation(Before the surgical operation, after 3 days, after 14 days.)
- Change from baseline level of iron at 14 days after surgical operation(Before the surgical operation, after 3 days, after 14 days.)
- Change from baseline of POMA at 14 days after surgical operation(Before the surgical operation, after 3 days, after 14 days.)
- Change from baseline level of pre-albumin at 14 days after surgical operation(Before the surgical operation, after 3 days, after 14 days.)
- Change from baseline of calf circumference 14 days after surgical operation(Before the surgical operation, after 3 days, after 14 days.)
- Change from baseline of % of fat mass at 14 days after surgical operation(Before the surgical operation, after 3 days, after 14 days.)
- Change from baseline of FIM test at 14 days after surgical operation(Before the surgical operation, after 3 days, after 14 days.)
- Change from baseline of 10 meter walking test at 14 days after surgical operation(Before the surgical operation, after 3 days, after 14 days.)