A Novel In-hospital Meal Service Improves Protein and Energy Intake
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 637
- 主要终点
- Energy intake day 4 (kcal)
研究概览
简要总结
This study aims to investigate whether a novel meal service FoodforCare (FfC), comprising 6-protein-rich meals a day following proactive advice from a nutritional assistant, improves dietary intake and patient satisfaction, compared to the traditional 3-meals a day service (TMS).
详细描述
The investigators performed a quasi experimental study at medical (Gastroenterology) and surgical (Gynecology, Urology, Orthopedics) wards. Patients were offered TMS (July 2015 - May 2016; n=326) or FfC meal service (after stepwise introduction per ward from January 2016 - December 2016; n=311). Primary outcome was the mean percentage of protein and energy intake relative to requirements, between patients receiving TMS and those receiving FfC, on the first and fourth day of full oral intake. Patient satisfaction comprised rating of the experienced quality of the food and the meal service and by means of a validated questionnaire.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
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
- •Dutch speaking
- •Aged 18 years or older
- •Exclusively oral intake
- •Expected hospital stay of at least 1 day
排除标准
- •Patients with tube- or parenteral feeding
- •A language barrier
- •Considered to be too weak to adequately answer our questions
结局指标
主要结局
Energy intake day 4 (kcal)
时间窗: 4 days
The percentage of energy intake (kcal) relative to requirements (Harris \& Benedict formula \* 1.3) on the fourth day of full oral intake.
Protein intake day 1 (gram)
时间窗: 1 day
The percentage of protein intake (gram) relative to requirements (1.2 gram/kilogram bodyweight) on the first day of full oral intake.
Protein intake day 4 (gram)
时间窗: 4 days
The percentage of protein intake (gram) relative to requirements (1.2 gram/kilogram bodyweight) on the fourth day of full oral intake.
Energy intake day 1 (kcal)
时间窗: 1 day
The percentage of energy intake (kcal) relative to requirements (Harris \& Benedict formula \* 1.3) on the first day of full oral intake.
次要结局
- Patients' satisfaction (food appreciation and access to food)(3 day)
- Patients' satisfaction (food quality and meal service)(3 day)
- Change in nutritional status (body weight)(4 days)
- Change in nutritional status (handgrip strength)(4 days)
- Nutritional status (height)(1 day)
- Nutritional status (malnutrition universal screening tool)(1 day)