About this trial
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?
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female, aged 65 years or older.
Presenting with a geriatric hip fracture (femoral neck, intertrochanteric, or subtrochanteric) requiring surgical intervention.
Able to provide informed consent.
Expected to survive at least 6 months after surgery, with no terminal illness.
Disqualifiers
Pre-existing conditions that significantly impair mobility prior to injury.
Severe renal or liver impairment.
Active treatment with investigational drugs or participation in another clinical trial within the last 30 days.
Inability to tolerate oral nutritional supplementation due to gastrointestinal disorders.
Trial design
Parallel
Treatments tested in this trial
XR™ Recovery Supplement
Dietary supplementParticipants 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.
XR Carbohydrate Loading Supplement
Dietary supplement2 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.
Treatment groups
Trial outcomes
Primary outcomes
Percentage change in muscle loss, as measured by the cross-sectional area of the rectus femoris muscle
Outcome measure will be measured using ultrasound imaging.
Secondary outcomes
Number of inpatient complications related to the surgical procedure for hip fractures
Number of wound complications
Complications include infection and bleeding.
Length of hospital stay
Rate of readmission
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