Quality Improvement Program (QIP) to Reduce 30-Day Readmission in Malnourished Hospitalized Patients

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

TERMINATED

Total Enrollment

2386 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-10-31

Study Completion Date

2015-08-31

Brief Summary

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Newly admitted patients will be screened for risk of malnutrition. Patients will receive either the feeding protocol or current oral nutrition supplement (ONS) practice, pending location. Patients will continue the nutrition plan taking the supplement post discharge. Study team will follow-up with telephone calls to help support post-discharge ONS compliance. Quality and service utilization data will be gathered for analysis.

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Detailed Description

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Conditions

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Malnutrition

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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ONS QIP

Two (2) hospitals will administer the new rapid, comprehensive oral nutritional supplementation (ONS) QIP.

ONS QIP

Intervention Type OTHER

Rapid comprehensive ONS, dietary consult, follow up phone calls

ONS Standard Feeding

Two (2) hospitals will use their current "standard" ONS feeding protocol.

ONS Standard Feeding

Intervention Type OTHER

Standard of care

Interventions

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ONS QIP

Rapid comprehensive ONS, dietary consult, follow up phone calls

Intervention Type OTHER

ONS Standard Feeding

Standard of care

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient is ≥ 18 years of age.
* Patient is screened for malnutrition with an MST score ≥ 2 (see Appendix C).
* Patient has length of stay of hospital stay \> 2 days.
* Patient is able to consume foods and beverages orally.
* Patient receives Ensure, Nepro or Glucerna during the course of his or her hospital stay in connection with the QIP.

Exclusion Criteria

* Patient is pregnant.
* Patient is intubated, receiving tube feeding or parenteral nutrition.
* Patient unable to provide HIPAA authorization and informed consent.
* Patient is discharged to hospice care.
* Patient has a condition that would preclude ingestion / absorption of the oral nutritional supplements, including allergic response to any ONS ingredient.
* Patient has severe dementia or delirium, brain metastases, eating disorder, history of significant neurological or psychiatric disorder.
* Patient has stated an allergy or intolerance to any of the ingredients in the study products.

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No