Impact of A Postoperative Meal Delivery Program on Malnutrition in Orthopaedic Trauma Patients
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 75
- 试验地点
- 1
- 主要终点
- Metabolic biomarker changes over time
研究概览
简要总结
The purpose of this study is to examine the impact of a medically tailored post-operative meal delivery program on surgical outcomes and metabolic lab markers in orthopaedic trauma patients. Patients will have 12 days of meals and shakes delivered to their house through our partnership with Meals on Wheels. Metabolic lab values will be drawn at the 2 week and 6 week post-op visits. All patients will be followed for up to 1 year postoperatively.
详细描述
This project addresses critical gaps in our understanding of how malnutrition affects recovery in orthopaedic trauma patients by focusing on three key outcomes: (1) the incidence of acute wound complications, (2) metabolic biomarker changes over time, and (3) patient-reported outcomes (PROMIS scores) and impact (qualitative survey) during the recovery period. By systematically investigating these outcomes, the project aims to understand how post-operative meal supplementation can be optimized to reduce complications and improve recovery. The findings will have significant implications for clinical practice, particularly in developing nutritional programs and guidelines that can be integrated into post-operative care protocols to improve outcomes and reduce healthcare costs for orthopaedic trauma patients.
研究设计
- 研究类型
- Observational
- 观察模型
- Ecologic Or Community
- 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
- •Individuals 18 years old or older are included.
- •English or Spanish speaking
- •Reside in the following zip codes: 90001, 90002, 90003, 90004, 90005, 90006, 90007, 90008, 90009, 90010, 90011, 90012, 90013, 90014, 90015, 90016, 90017, 90018, 90019, 90020, 90021, 90023, 90026, 90027, 90028, 90029, 90031, 90035, 90036, 90037, 90038, 90039, 90043, 90044, 90046, 90047, 90048, 90052, 90057, 90059, 90061, 90062, 90065, 90068, 90069
- •Discharged home, either directly from Cedars-Sinai Medical Center or after time in a skilled nursing facility or acute rehab
- •Orthopaedic trauma surgical patients that have had an operation and inpatient stay at Cedars-Sinai Medical Center
排除标准
- •Any records flagged "break the glass" or "research opt out."
- •Any pregnant patients.
- •Patients with any congenital metabolic conditions
- •Patients with dietary restrictions (ex. Kosher, Halal, vegan, gluten free, etc.) that are unable to be reasonably accommodated by St. Vincent Meals on Wheels
- •Any patients with mental illness the prevents them from giving consent.
- •Patients with dementia or cognitive impairment.
- •Patients who are homeless and/or unreliable to follow up
结局指标
主要结局
Metabolic biomarker changes over time
时间窗: From enrollment to 6-weeks postop
Evaluation of biomarkers
Incidence of acute wound complications
时间窗: From enrollment to end of treatment at 1-year postop
Wound compliaction
次要结局
未报告次要终点
研究者
Carol A. Lin, MD
Associate Professor
Cedars-Sinai Medical Center