Impact of Perioperative Nutritional Care on Recovery After Total Knee and Hip Arthroplasty: A Prospective Observational Study

What this Trial Is About

Researchers are evaluating how standardized nutritional care around the time of surgery affects recovery and complications in patients undergoing elective total hip or knee replacement. This observational study takes place at St. Anne's University Hospital in Brno and focuses on enhancing recovery by optimizing nutrition before and after surgery. The study aims to better understand the impact of such care on postoperative outcomes including complication rates and hospital stay length. Participants receive nutritional education before surgery, including screening for nutritional risk and guidance on carbohydrate drinks taken up to two hours before anesthesia. After surgery, patients begin eating early to support healing. The study follows current practices such as avoiding prolonged fasting and providing tailored diets, including carbohydrate loading schedules and low-residue meals. No additional interventions beyond routine care are required. During the study, data will be collected on patient demographics, surgery details, nutritional status, carbohydrate intake, and complications like infections and delayed wound healing. Information will be stored securely and monitored through forms verifying carbohydrate drink consumption. The main outcomes assessed are rates of postoperative complications, wound healing status, and length of hospital stay within two weeks after surgery. The study will provide insights into how nutritional care supports recovery following joint replacement.

The Effect of Perioperative Nutritional Care on Recovery After Knee and Hip Replacement Surgery