Clinical trial NCT04244851: Nutritional State and Care Pathway of Hospitalized Malnourished Patients, Within 3 Months of Admission
Official title: Nutritional State and Care Pathway of Hospitalized Malnourished Patients, Within 3 Months of Admission
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Malnutrition
Keywords: Malnutrition,
qualitative study
Lead sponsor: Rennes University Hospital
Sponsor class: OTHER
First posted: 2020-01-28
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Malnourished patients diagnosed during their hospitalization in the post-emergency unit of Rennes Universisty Hospital

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: evolution of malnutrition after hospital discharge
timeFrame: 3 months after discharge
Secondary outcomes:
measure: Describe the path of care following the hospitalization of patients diagnosed with malnutrition at the hospital
timeFrame: 3 months after discharge
measure: Evaluate appropriation of patient regarding malnutrition
timeFrame: 3 months after discharge
measure: Evaluate the perception of patient regarding malnutrition
timeFrame: 3 months after discharge
measure: Evaluate expectations of patient regarding malnutrition
timeFrame: 3 months after discharge
measure: Evaluate the needs of health professionals regarding undernutrition
timeFrame: 3 months after discharge
measure: Evaluate the expectations of health professionals regarding undernutrition
timeFrame: 3 months after discharge
measure: Evaluate knowledge of health professionals regarding undernutrition
timeFrame: 3 months after discharge
Other outcomes:
Locations:
city: Rennes
country: France
facility: Rennes University Hospital
Study officials:
References: