Personalized Dietary Advice 3 Months After Discharge From Hospitalization in Geriatrics: Effect on Nutritional Status According to Coronavirus Disease 2019 (COVID-19) Status (Positive or Negative) During Hospitalization

Study Overview
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Brief Summary
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The principal aim of this interventional, multicentre study is to compare the impact of a follow-up by monthly telephone dietetic consultations, started 3 months after discharge from hospital, for a period of 3 months, on the energy intake in patients elderly people recently hospitalized for Coronavirus disease 2019 (Covid-19), Coronavirus disease Positive group Covid (+), or not, Coronavirus disease Negative groupCovid (-). The main outcome measure is to compare the total energy intake at 6 months, after 3 months of dietary consultations, between Coronavirus disease Positive group Covid (+) and Coronavirus disease negative group Covid (-).

Detailed Description
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This study consists of nutritional monitoring after hospitalization, carried out by dieticians. Consultations are done remotely, by phone only. Eligible subjects are included, either upon discharge from hospital or within 3 months (at the latest) following their hospitalization. 135 subjects will be included, 50% will be included in Coronavirus disease Positive group Covid (+) and 50% in the Coronavirus desease negative group Covid (-) . The following data will be collected At Inclusion (D0): Average length of hospital stay, medical diagnoses, severity of hospital stay, autonomy and dependency scores, albumin and body mass index (BMI). At M3, M4, M5 and M6: Dietary monitoring data, patient's vital status and dependency scores.

Official Title
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Personalized Dietary Advice 3 Months After Discharge From Hospitalization in Geriatrics: Effect on Nutritional Status According to Coronavirus Disease 2019 (Covid-19) Status (Positive or Negative) During Hospitalization

Conditions
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Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)

Intervention / Treatment
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* Behavioral: Post-hospitalization nutritional monitoring


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient hospitalized or having been hospitalized in acute geriatrics Living at home 3 months after hospitalization in acute geriatrics Having a good understanding of the French language Being able to understand the study information and participate in telephone follow-up Having read the information notice and agreeing to participate in the study For the Covid (+) group: hospitalized for Covid-19 (diagnostic confirmation by positive RT-PCR) For the Covid group (-): hospitalized for any other reason (negative RT-PCR) Exclusion Criteria: Patient refusing to participate in the study Subject to a legal protection measure (curatorship, guardianship or safeguard of justice) With cognitive impairment making it impossible to understand the study protocol and express consent.

Ages Eligible for Study
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Minimum Age: 75 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: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Post-hospitalization nutritional monitoring, carried out by dieticians from Saveurs & Vie. Consultations are done remotely, by phone only. Dietitians have gained experience in home nutritional monitoring of elderly people over the phone during the first wave of Coronavirus disease 2019 (COVID-19) .
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Coronavirus disease Positive group Covid (+)<br>Positive PCR test. | Behavioral: Post-hospitalization nutritional monitoring<br>* Post-hospitalization nutritional monitoring, carried out by dieticians from Saveurs & Vie. Consultations are done remotely, by phone only. Dietitians have gained experience in home nutritional monitoring of elderly people over the phone during the first wave of Coronavirus disease 2019 (COVID-19) .<br>|
| Active Comparator: Coronavirus disease Negative group Covid (-)<br>Negative PCR test. | Behavioral: Post-hospitalization nutritional monitoring<br>* Post-hospitalization nutritional monitoring, carried out by dieticians from Saveurs & Vie. Consultations are done remotely, by phone only. Dietitians have gained experience in home nutritional monitoring of elderly people over the phone during the first wave of Coronavirus disease 2019 (COVID-19) .<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparison of total energy requirements, after 3 months of dietary consultations, between Covid (+) and Covid (-) groups. | A 30 to 40 minute telephone survey by a dietitian, with: the reminder of food intake over 24 hours, estimation of the weight of each food and quantification in kcal / day and grams of protein / day. This assessment of food intake will be followed by nutritional advice adapted to the severity of undernutrition, spontaneous food intake, the subject's tastes and dislikes, and the possibilities of preparing the necessary dishes and textures. | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of the degree of patient dependence according Index of Independence in Activities of Daily Living KATZ scale | This is a measurement of the subject's ability to perform activities of daily living independently without including minimum and maximum values | At inclusion | 
| Assessment of patient's level of dependence through an appreciation of instrumental activities of daily living according Lawton scale | Assessment of older people: Self-maintaining and instrumental activities of daily living without including minimum and maximum values | At inclusion | 
| Comparison of weight variation by measuring the Body Mass Index (BMI) |  | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Coronavirus disease 2019 (COVID-19), Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-positive patients, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-negative patients