Nutritional State and Care Pathway of Hospitalized Malnourished Patients, Within 3 Months of Admission

Study Overview
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Brief Summary
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Malnourished patients are at risk of many complications, including infections, pressure ulcers and readmissions. Little is known about their care pathway after hospital discharge. This study aims to determine care pathways of malnourished patients after hospital discharge and to determine what they need to better take care of their malnutrition.

Detailed Description
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All patients hospitalized in the post-emergency unit of Rennes University Hospital during the study period will be screened for malnutrition. Data concerning newly diagnosed malnourished patients will be recorded and those patients will be contacted 3 months after their hospital discharge. A qualitative study will be conducted among malnourished patients and their families : a sample of patients and their caregivers will be interviewed to better understand their perception of malnutrition and what they need to better take care of malnutrition.

Official Title
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Nutritional State and Care Pathway of Hospitalized Malnourished Patients, Within 3 Months of Admission

Conditions
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Malnutrition

Intervention / Treatment
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* Other: Malnourished patients


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Malnourished patients, hospitalized in the post-emergency unit during the study period, according to the malnutrition diagnostic criteria defined by the French Health Authority : age ≥ 70 years old: weight loss ≥ 5% within 1 month or ≥ 10% within 6 months and/or BMI <21 and or serum albumin level < 35 g/l age < 70 years old : weight loss ≥ 5% in 1 month or ≥ 10% in 6 months or ≥ 10% compared to the usual weight before the onset of the disease; or BMI <18.5 kg / m2 Non-inclusion criteria : refusing to participate in the study age < 18 years old patients under tutorship or guardianship patients living in retirement home Patients without a fixed address Exclusion criteria : -patients transferred in another unit

Ages Eligible for Study
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Minimum Age: 18 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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Malnourished patients<br>Malnourished patients | Other: Malnourished patients<br>* Data of included patients will be recorded during hospitalization using medical charts. Every patient will be contacted by phone 3 months after hospital discharge. A sample of patients and their caregivers will be interviewed to better understand their perception of malnutrition and what they need to better take care of malnutrition.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| evolution of malnutrition after hospital discharge | Malnutrition diagnostic criteria defined by the French Health Authority : If age ≥ 70 years old : weight loss ≥ 5% within 1 month and/or ≥ 10% within 6 months and/or BMI < 21 kg/m² and/or serum albumin level < 35 g/l If age < 70 years old: weight loss ≥ 5% within 1 month and/or ≥ 10% within 6 months and/or BMI < 18,5 kg/m² level | 3 months after discharge | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Describe the path of care following the hospitalization of patients diagnosed with malnutrition at the hospital | Number of hospital readmissions Number of family physician consultations | 3 months after discharge | 
| Evaluate appropriation of patient regarding malnutrition | Qualitative study by semi-structured patient interviews | 3 months after discharge | 
| Evaluate the perception of patient regarding malnutrition | Qualitative study by semi-structured patient interviews | 3 months after discharge | 
| Evaluate expectations of patient regarding malnutrition | Qualitative study by semi-structured patient interviews | 3 months after discharge | 
| Evaluate the needs of health professionals regarding undernutrition | Qualitative study by semi-structured patient interviews | 3 months after discharge | 
| Evaluate the expectations of health professionals regarding undernutrition | Qualitative study by semi-structured patient interviews | 3 months after discharge | 
| Evaluate knowledge of health professionals regarding undernutrition | Qualitative study by semi-structured patient interviews | 3 months after discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Malnutrition,, qualitative study