Objective  To retrieve relevant evidence for perioperative nutritional management of elderly patients with hip fractures and summarize the best evidence.

Methods  Clinical decision-making, guidelines, evidence summaries, systematic reviews, expert consensus, and other relevant literature on perioperative nutritional management of elderly patients with hip fractures were retrieved from Chinese National Knowledge Infrastructure (CNKI), UpToDate, National Institute for Health and Care Excellence (NICE), Cochrane Library, Scottish Intercollegiate Guidelines Network (SIGN), National Guideline Clearinghouse, Chinese Medical Pulse Guideline Network, PubMed, VIP Biomedical Journal Database, ovid (Embase), Chinese Medical Journal Full-text Database, Chinese Biomedical Literature Database, and Wanfang Medical Network. The search period was from January 2015 to September 2023.

Results  A total of 13 articles were included in this study, including 5 guidelines, 4 expert consensus, and 4 systematic reviews. A total of 32 best evidences were summarized from six aspects: nutritional support goals, nutritional assessment and screening, preoperative nutritional support, postoperative nutritional support, nutritional intervention principles, and diet management.

Conclusion  This study summarizes the best evidence for perioperative nutritional management of elderly patients with hip fractures, which can help healthcare professionals better implement effective perioperative nutritional management for elderly patients with hip fractures.