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An evaluation of the effectiveness of post-discharge telecare and home visits for malnourished adult patients admitted to acute care hospital

Not Applicable
Recruiting
Conditions
Malnutrition
Diet and Nutrition - Other diet and nutrition disorders
Public Health - Health service research
Registration Number
ACTRN12612000400864
Lead Sponsor
im Su Lin
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
180
Inclusion Criteria

Adult > 21 years old; admitted for acute care to the hospital; assessed by dietitians as malnourished using SGA at the point of discharge or less than 4 days before discharge.

Exclusion Criteria

Patients on tube feeding or total parenteral nutrition upon discharge; patients on palliative care or with terminal illness; live outside of Singapore; have severe cognitive, psychological disabilities; discharged to another healthcare or step-down care facility or nursing home or unwilling to provide informed consent.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
utrition status assessed using Subjective Global Assessment (SGA)[At baseline and 5th month];Body weight[At baseline and 5th month];Upper arm anthropometrics i.e. Mid arm circumference, triceps skinfold thickness and mid arm muscle circumference[At baseline and 5th month]
Secondary Outcome Measures
NameTimeMethod
Functional status using Handgrip dynamometer[At baseline and 5th month];Quality of Life using the Visual Analogue Scale and Scores of EuroQOL[At baseline and 5th month];All-cause mortality[At 0.5 year, 1 year, 2 years and 3 years after the 5th month.];Readmission rate from the hospital's System Application Product (SAP) system[At 0.5 year, 1 year, 2 years and 3 years after the 5th month.];Total length of hospital stay from the hospital's Computerised Patient Support System (CPSS)[At 0.5 year, 1 year, 2 years and 3 years after the 5th month.];Total cost of hospitalisation from the hospital's System Application Product (SAP) system[At 0.5 year, 1 year, 2 years and 3 years after the 5th month.]
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