Organization of the Dietetic Service in a Hospital - on the Ward or Centralized?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 33
- 主要终点
- re-admission-rate after discharge (%)
研究概览
简要总结
In Denmark the dieticians can be organized centrally and called upon if needed, or locally in larger units, or very locally related to bed-units. The organization form is based on tradition not on measurements of quality. We wanted to compare the very local form with the traditional centralized.
Methods: Randomized, unblinded, parallel design. The intervention group (IT) was nutritionally handled by the dietician, and the control group (C) by the nurses as previously with the possibility for dietetic help from the center.
详细描述
All patients were screened by NRS-2002 and had their estimated needs calculated (equations in IT, tables in C). The IT was in addition assessed for adapted weight-loss, counseled with a plan for nutrition and followed-up daily by the dietician if at nutritional risk. All patients were re-screened weekly and had their intake registered. Hand-grib-strength (HGS) was measured in both groups at admittance and discharge, and weight three times weekly.
The primary endpoint was re-admission rate to hospital within 2 months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
盲法说明
Results handled without knowledge of randomization group
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
- •acutely admitted to hospital
排除标准
- •unable to comply with the protocol
研究组 & 干预措施
Dietetic service
Nutritional assessment and therapy by dietitian throughout the hospital stay
干预措施: Nutritional assessment and therapy (Procedure)
standard care
Nutritional handling by nurses supported by a dietician if needed
干预措施: Standard care (Procedure)
结局指标
主要结局
re-admission-rate after discharge (%)
时间窗: 2 months
admission for the same diagnosis
次要结局
- intake of protein during hospital stay(1 week)
- intake of energy during hospital stay(1 week)
研究者
Jens Rikardt Andersen
Associate Professor
University of Copenhagen