Effect of Nutritional Efforts on Discharged Elderly Patients

Not Applicable

Completed

• Conditions: Malnutrition
• Interventions: Dietary Supplement: Individual nutritional therapy

• Registration Number: NCT03488329
• Lead Sponsor: Herlev Hospital

Brief Summary

The study is a randomized controlled study, ongoing over 16 weeks. At discharge, the intervention group receives guidance from a clinical dietician, where an individual nutrition plan is made. The dietitian will perform a telephone follow-up after 4 and 30 days. It will also be possible for the participant, relatives or municipality to contact the dietician if nutritional questions arise.

At the time of discharge the intervention group will receive a package containing foods and drinks that will cover their nutritional needs the first day after discharge.

They will also get a goodiebag containing samples on protein-rich milk-based drinks. Data is collected on quality of life, appetite, physical function, dietary intake, weight, height, energy and protein needs, as well as experience of discharge and cooperation with the municipality.

If there is a need, information about nutrition status will be sent to the municipality so the municipality can take over nutritional treatment.

The control group receives standard treatment.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-02-15
• Study First Submitted QC: 2018-03-28
• Study First Posted: 2018-04-05
• Study Start: 2018-05-01
• Primary Completion: 2020-03-01
• Study Completion: 2020-03-01
• Status Verified: 2021-01
• Last Update Submitted: 2021-01-05
• Last Update Posted: 2021-01-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 207

Inclusion Criteria

• Patients admitted to Oncology, Gastro-medical / Surgical, and Medical Department, HGH, Herlev.
• Age: 50+
• At admission, found in nutritional risk score ≥3 according to NRS-2002.
• On special food concept, Herlev's Glories during hospitalization
• Discharged to own home in a municipality in Planområde Midt (Ballerup, Herlev, Lyngby-Tårbæk, Gentofte, Gladsaxe, Rødovre, Egedal, Rudersdal, Furesø).
• Can read, hear and understand Danish
• Cognitive able to participate in the study, based on whether they are informed in time, place and own data.

Exclusion Criteria

• Food allergy or intolerance
• Planned weight loss or following a special diet
• Receives enteral or parenteral nutrition
• Patients with moderate to severe dysphagia, defined with a need for gratin or a creamy diet
• Patients who does not want a food package or goodiebag
• Patients who are permanently bedridden
• Patients who are discharged to nursing homes or rehabilitation
• Patients in isolation
• Late palliative patients
• Terminal patients

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Individual nutritional therapy	Intervention group Individual nutritional therapy

Primary Outcome Measures

Name	Time	Method
Hospital readmissions	6 months

Secondary Outcome Measures

Name	Time	Method
Mortality	30 days, 16 weeks, 6 months
Protein intake	16 weeks	24 hour recall
Physical function	16 weeks	30-s CST
Energi Intake	16 weeks	24 hour recall
Appetite	16 weeks	SNAQ
Weight	16 weeks
Health related Quality of life	16 weeks	EQ-5D
Hospital readmissions	30 days, 16 weeks
Combined adverse advents	30 days, 16 weeks, 6 months

Trial Locations

Locations (1)

Unit for Dietetics and Nutrition Research, Herlev hosipital; 🇩🇰 Herlev, Denmark