Effect of Nutritional Efforts on Discharged Elderly Patients

Study Overview
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Brief Summary
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The study is a randomized controlled study, ongoing over 16 weeks. At discharge, the intervention group receives guidance from a clinical dietician, where an individual nutrition plan is made. The dietitian will perform a telephone follow-up after 4 and 30 days. It will also be possible for the participant, relatives or municipality to contact the dietician if nutritional questions arise. At the time of discharge the intervention group will receive a package containing foods and drinks that will cover their nutritional needs the first day after discharge. They will also get a goodiebag containing samples on protein-rich milk-based drinks. Data is collected on quality of life, appetite, physical function, dietary intake, weight, height, energy and protein needs, as well as experience of discharge and cooperation with the municipality. If there is a need, information about nutrition status will be sent to the municipality so the municipality can take over nutritional treatment. The control group receives standard treatment.

Official Title
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Effect of Nutritional Efforts on Discharged Elderly Patients

Conditions
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Malnutrition

Intervention / Treatment
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* Dietary Supplement: Individual nutritional therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients admitted to Oncology, Gastro-medical / Surgical, and Medical Department, HGH, Herlev. Age: 50+ At admission, found in nutritional risk score ≥3 according to NRS-2002. On special food concept, Herlev's Glories during hospitalization Discharged to own home in a municipality in Planområde Midt (Ballerup, Herlev, Lyngby-Tårbæk, Gentofte, Gladsaxe, Rødovre, Egedal, Rudersdal, Furesø). Can read, hear and understand Danish Cognitive able to participate in the study, based on whether they are informed in time, place and own data. Exclusion Criteria: Food allergy or intolerance Planned weight loss or following a special diet Receives enteral or parenteral nutrition Patients with moderate to severe dysphagia, defined with a need for gratin or a creamy diet Patients who does not want a food package or goodiebag Patients who are permanently bedridden Patients who are discharged to nursing homes or rehabilitation Patients in isolation Late palliative patients Terminal patients

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Intervention group Individual nutritional therapy | Dietary Supplement: Individual nutritional therapy<br>* Guidance from a clinical dietician. Individual nutrition plan A package containing foods and drinks, which will cover their nutritional needs the first day after discharge. A goodiebag containing samples on protein-rich milk-based drinks. Telephone follow-up after 4 and 30 days and the possibility to call the dietician in case of questions about nutrition.<br>|
| No Intervention: Control<br>Control group Standard treatment | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hospital readmissions |  | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mortality |  | 30 days, 16 weeks, 6 months | 
| Weight |  | 16 weeks | 
| Protein intake | 24 hour recall | 16 weeks | 
| Energi Intake | 24 hour recall | 16 weeks | 
| Appetite | SNAQ | 16 weeks | 
| Health related Quality of life | EQ-5D | 16 weeks | 
| Physical function | 30-s CST | 16 weeks | 
| Hospital readmissions |  | 30 days, 16 weeks | 
| Combined adverse advents |  | 30 days, 16 weeks, 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hospital readmissions, Seniors