{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,5]],"date-time":"2025-07-05T04:10:28Z","timestamp":1751688628585,"version":"3.41.0"},"reference-count":31,"publisher":"Centre for Evaluation in Education and Science (CEON\/CEES)","issue":"4","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/BY\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Biochemistry"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:p>Background: This study aimed to evaluate the effects of nutritional support combined with stratified nursing under delirium risk assessment on immune function and postoperative delirium in elderly hip fracture patients. Methods: A total of 112 elderly hip fracture patients were divided into two groups: the study group (SG), which received stratified nursing and enteral nutrition, and the control group (CG), which received routine nursing with a normal diet. Key parameters were evaluated and compared, including serum IgA, IgG, IgM levels, total protein (TP), albumin (ALB), postoperative delirium incidence, nutritional status, recovery time, and overall patient outcomes. Results: Compared to the CG, the SG demonstrated significant improvements in immune function, with increased IgA, IgG, and IgM levels, as well as higher haemoglobin, albumin, and total protein levels. The SG also experienced shorter hospital stays, earlier postoperative mobility, reduced postoperative delirium rates (1.79% vs. 14.29%), lower anxiety and depression scores, better sleep quality, and lower pain scores. Additionally, nursing satisfaction was significantly higher in the SG. Conclusions: Nutritional support combined with stratified nursing under delirium risk assessment effectively enhances immune function, reduces postoperative delirium, and accelerates recovery in elderly hip fracture patients. This approach may serve as a valuable strategy in postoperative management to improve patient outcomes.<\/jats:p>","DOI":"10.5937\/jomb0-55434","type":"journal-article","created":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T10:13:42Z","timestamp":1741601622000},"page":"822-830","source":"Crossref","is-referenced-by-count":0,"title":["Serum IgA, IgG, IgM levels, total protein (TP), albumin (ALB) changes in elderly hip fracture patients after surgery and nutritional support"],"prefix":"10.5937","volume":"44","author":[{"given":"Fangqin","family":"Jin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qin","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiangping","family":"Weng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuting","family":"Pan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qinyan","family":"Dong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuping","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3964","reference":[{"key":"ref1","unstructured":"LeBlanc KE, Muncie HL, Jr., LeBlanc LL. Hip fracture: diagnosis, treatment, and secondary prevention. Am Fam 2014; 89(12): 945-51;"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Pech-Ciau BA, Lima-Mart\u00ednez EA, Espinosa-Cruz GA, Pacho-Aguilar CR, Huchim-Lara O, Alejos-G\u00f3mez RA. Hip fracture in the elderly: epidemiology and costs of care. Acta Ortop Mex 2021; 35(4): 341-7;","DOI":"10.35366\/103314"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Wu J, Yin Y , Jin M, Li B. The risk factors for postoperative delirium in adult patients after hip fracture surgery: a systematic review and meta-analysis. Int J Geriatr Psychiatry 2021; 36(1): 3-14;","DOI":"10.1002\/gps.5408"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Swarbrick CJ, Partridge JSL. Evidence-based strategies to reduce the incidence of postoperative delirium: a narrative review. 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Zhongguo Zhong Xi Yi Jie He Za Zhi 2010; 30(10): 1036-40;"}],"container-title":["Journal of Medical Biochemistry"],"original-title":["Nivoi serumskih IgA, IgG i IgM, ukupnih proteina (TP) i albumina (ALB) kod starijih pacijenata sa prelomom kuka nakon hirur\u0161ke intervencije i nutritivne podr\u0161ke"],"language":"en","link":[{"URL":"https:\/\/scindeks-clanci.ceon.rs\/data\/pdf\/1452-8258\/2025\/1452-82582504822J.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T14:49:44Z","timestamp":1751640584000},"score":1,"resource":{"primary":{"URL":"https:\/\/scindeks.ceon.rs\/Article.aspx?artid=1452-82582504822J"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.5937\/jomb0-55434","relation":{},"ISSN":["1452-8258","1452-8266"],"issn-type":[{"type":"print","value":"1452-8258"},{"type":"electronic","value":"1452-8266"}],"subject":[],"published":{"date-parts":[[2025]]}}}