NCT04822545已完成不适用
Inpatient Referral to Comprehensive Weight Management for Patients With Obesity
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Perform a feasibility study of providing referral to outpatient comprehensive weight management clinic to Inpatients with obesity.
研究概览
简要总结
Hospitalized patients with obesity who are not already in CWM (comprehensive weight management), or not comfort care/hospice will be identified by the hospitalists then the study dietitian will consent for the patient for enrollment (and answer any question regarding diet/lifestyle) in the study. The intervention will be a CWM referral at discharge. The outcome will be what percentage of these patients go to the CWM clinic at 6 months. At 6 months, the investigators will also call each participant to get a qualitative idea of the process of inpatient referral and barriers to the CWM clinic visit. Weight loss, starting on anti-obesity medication, bariatric surgery will be assessed as a secondary outcome.
详细描述
- The investigators will conduct an uncontrolled, one arm interventional study on Adult (≥ 18 years of age) hospitalized patients who have obesity (BMI ≥ 30 kg/m 2 or BMI ≥ 27 kg/m 2 if Asian/South Asian), and after stabilization of their acute medical conditions. Prior to hospital discharge, patients will receive a referral for an outpatient comprehensive weight management clinic, with a message that will be sent to the CWM clinic scheduler. Then the investigators will follow the patients forward for 6 months from hospital discharge to assess primary and secondary outcomes. Also, the investigators will look at a historical control group of hospitalized patients with obesity (age, comorbidity matched) from 2014-2019 (chosen instead of 2020, to avoid any impact of 2020 COVID 19 pandemic) and compare the primary and secondary outcomes. At six months after discharge, patients will receive a phone call from the investigators to ascertain whether they were able to go to the comprehensive weight management clinic and about their experience.
- Hospitalized patients who have decision-making capacity and whose acute medical condition has been stabilized who meet study criteria will be identified by study physician(s) who will look at his/her personal patient list on a regular basis to identify patients who meet enrollment criteria and will refer the patients to the co-investigator who is not directly involved in the patient's care who will then discuss enrollment with patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult (≥ 18 years of age) hospitalized patients who have obesity (BMI ≥ 30 kg/m2 or BMI ≥ 25 kg/m2 if Asian/South Asian)
- •Who have decision-making capacity
- •Whose acute medical condition has been stabilized.
排除标准
- •Patients in the ICU or requiring > 6 LPM of supplemental oxygen
- •Patients enrolling in hospice/comfort care
- •Patients who are already enrolled in weight management or have undergone previous metabolic / bariatric surgery.
- •Non-English speaking patients.
- •Pregnant patients
结局指标
主要结局
Perform a feasibility study of providing referral to outpatient comprehensive weight management clinic to Inpatients with obesity.
时间窗: Six months
Percentage of patients who are seen in weight management clinic at 6 months from hospital discharge
次要结局
- Compare primary and secondary outcomes with a historical control of patients with obesity(six month and 12 month)
- Weight loss at 6 months from hospital discharge.(six month and 12 month)
- The number of Comprehensive weight managment clinic visits at 6 months.(six month and 12 month)
- Percentage of patients receiving weight-loss medications or being referred for bariatric surgery.(six month and 12 month)
- Qualitative information about the experience of getting referral for outpatient weight management while inpatient and experience of going to weight management(six month and 12 month)
研究者
研究点 (2)
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