Relationship Between Fracture Type and Preoperative Nutritional Status with Postoperative Pain

Purpose/Hypothesis: H0: There is no relationship between fracture type and preoperative nutritional status and postoperative pain and prognosis in geriatric hip surgery. H1: There is a relationship between fracture type and preoperative nutritional status and postoperative pain and prognosis in geriatric hip surgery. Material-Method: This study will be conducted in accordance with the Declaration of Helsinki and will be conducted at the SBÜ Ankara Atatürk Sanatoryum Education and Research Hospital after receiving approval from the relevant units and ethics committee. The study was designed as a single-center prospective observational study. Patients who are over the age of 65 and who will undergo surgery due to hip fracture and who agree to participate in this observational study and sign the informed consent form will be prospectively recorded using the patient follow-up forms investigators have prepared. The standard anesthesia and analgesia protocol that investigators routinely apply to patients will be applied throughout the surgery. If the patient has pain after the surgery, the patient will not wait and the necessary analgesic treatment will be given to the patient. The patients' preoperative routine blood tests, age, height, body weight, BMI, gender, diagnoses, American Society of Anesthesiologists (ASA) physical status score, Charlson Comorbidity Index (CCI), fracture type (femoral head fracture, femoral neck fracture, intertrochanteric fracture, subtrochanteric fracture), surgery performed, duration of surgery, complications developed during the procedure or during postoperative follow-ups until discharge, Visual Analog Scale (VAS) at the first, second, fourth, eighth, sixteenth and twenty-fourth hours postoperatively will be recorded. During the VAS evaluation, the patient will be asked to show the location of their pain when evaluated as 0: no pain, 100: maximum pain on a 100 cm scale, and the value shown by the patient will be recorded. During this process, additional analgesia treatment applied, if any, side effects such as headache, nausea-vomiting, hypotension, bradycardia, itching, sweating, respiratory depression due to analgesia treatment, and patient satisfaction will be recorded. The malnutrition risk of the patients will be determined and the preoperative Nutritional Risk Score-2002 (NRS-2002), Albumin level, Prognostic Nutritional Index (PNI), GNRI, MNA-SF, Charlson Comorbidity Index (CCI) and the length of hospital stay of the patients will be recorded.