Nutritional Intervention in a Cross-sector Model for the Rehabilitation of Geriatric Patients

NCT ID: NCT01776762

Last Updated: 2022-12-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2013-12-31

Brief Summary

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Based on an established Follow-home-programme offered at discharge from hospital the aim of this study is to test a model of how nutritional intervention in elderly patients can be systematized and quality assured in the transition between sectors. Furthermore the aim is to demonstrate that this model has a positive effect on the functioning and well-being of the elderly patient.

The purpose of the Follow-home-programme is to facilitate the transition of the elderly patient between hospital and private home in order to follow-up on any medical, nursing- or retraining-related intervention necessary to the rehabilitation of the patient. However this offer does not focus on nutrition in particular. This is a problem as many elderly patients are known to develop a poor nutritional status due to low appetite, disease etc. Our hypothesis is that adding a systematic nutritional focus to the Follow-home intervention programme will promote the rehabilitation of the elderly patient further.

The nutritional intervention in our study will focus on improving energy- and protein intake and we will measure the effect on the patient's functional abilities, quality of life and rate of hospital readmissions. The intervention model will be based on individualized nutritional counselling by a registered dietician in the patients home.

Detailed Description

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The study is designed as a 12 week randomized, controlled intervention study. The study sample will consist of 80 geriatric patients admitted to a medical ward at Herlev University Hospital in Copenhagen, Denmark. The patients will be equally distributed into the control and the intervention group. The control group will follow the usual follow-home programme. The intervention group will also follow this programme, but will additionally be offered 3 home visits by a registered dietician. Interdisciplinary information exchange will take place through established communication channels eg. patient records, visitations.

Before and after the intervention data on the patient eg. hand-grip strength, nutritional status, dietary intake, functional abilities, well-being and activities of daily living will be gathered.

Conditions

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Malnutrition

Keywords

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Nutrition Rehabilitation Weightloss

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Individual nutritional therapy

Individual nutritional therapy provided by registered dietician by means of three Home-visits

Group Type EXPERIMENTAL

Individual nutritional therapy

Intervention Type DIETARY_SUPPLEMENT

Individual nutritional therapy provided by registered dietician by means of three Home-visits

Standard Follow-home programme

Standard Follow-home programme without individual nutritional therapy

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Individual nutritional therapy

Individual nutritional therapy provided by registered dietician by means of three Home-visits

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Geriatric medical patients
* Age +70 years
* Nutritional risk according to the level 1 screen in Nutritional Risk Screening 2002 (NRS2002)
* Nutritional therapy for at least 3 days and at least in two daily meals during the hospitalization period
* Participation in the standard Follow-home programme

Exclusion Criteria

* Dementia
* Expected readmissions
* Terminal disease
* Non-danish speaking
* Not able to perform Hand grip test
* Planning weight reducing diet
Minimum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Copenhagen University Hospital at Herlev

OTHER

Sponsor Role lead

Responsible Party

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Christian Bitz

Head of research

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Christian Bitz, Cand Scient

Role: PRINCIPAL_INVESTIGATOR

Copenhagen University Hospital at Herlev

Locations

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EFFECT, Copenhagen University Hospital at Herlev

Herlev, Copenhagen, Denmark

Site Status

Countries

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Denmark

References

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Beck A, Rask KØ, Leedo E, Jensen LL, Martins K, Vedelspang A (2014) Study Protocol: Nutritional Support in a Cross-sector Model for the Rehabilitation of Geriatric Patients: A Randomized Controlled Trial. J Clin Trials 4: 165.

Reference Type BACKGROUND

Pohju A, Belqaid K, Brandt C, Lugnet K, Nielsen AL, et al. (2016) Adding a Dietitian to a Danish Liaison-Team after discharge of geriatric patients at nutritional risk may save health care costs. Aging Sci 4: 159.

Reference Type BACKGROUND

Beck A, Andersen UT, Leedo E, Jensen LL, Martins K, Quvang M, Rask KO, Vedelspang A, Ronholt F. Does adding a dietician to the liaison team after discharge of geriatric patients improve nutritional outcome: a randomised controlled trial. Clin Rehabil. 2015 Nov;29(11):1117-28. doi: 10.1177/0269215514564700. Epub 2014 Dec 31.

Reference Type RESULT
PMID: 25552522 (View on PubMed)

Other Identifiers

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EFFECT.B01.2012

Identifier Type: -

Identifier Source: org_study_id