Organization of the Dietetic Service in a Hospital

NCT ID: NCT03582202

Last Updated: 2018-07-16

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 33 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-04-18
• Study Completion Date: 2017-04-22

Brief Summary

In Denmark the dieticians can be organized centrally and called upon if needed, or locally in larger units, or very locally related to bed-units. The organization form is based on tradition not on measurements of quality. We wanted to compare the very local form with the traditional centralized.

Methods: Randomized, unblinded, parallel design. The intervention group (IT) was nutritionally handled by the dietician, and the control group (C) by the nurses as previously with the possibility for dietetic help from the center.

Detailed Description

All patients were screened by NRS-2002 and had their estimated needs calculated (equations in IT, tables in C). The IT was in addition assessed for adapted weight-loss, counseled with a plan for nutrition and followed-up daily by the dietician if at nutritional risk. All patients were re-screened weekly and had their intake registered. Hand-grib-strength (HGS) was measured in both groups at admittance and discharge, and weight three times weekly.

The primary endpoint was re-admission rate to hospital within 2 months.

Conditions

Nutritional Disease; Malnutrition

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: SINGLE

Study Groups

Dietetic service

Nutritional assessment and therapy by dietitian throughout the hospital stay

Group Type: ACTIVE_COMPARATOR

Nutritional assessment and therapy

Intervention Type: PROCEDURE

Nutritional screening, nutritional plan, follow-up and instructions on discharge

standard care

Nutritional handling by nurses supported by a dietician if needed

Group Type: PLACEBO_COMPARATOR

Standard care

Intervention Type: PROCEDURE

Nutritional handling by nurse

Interventions

Nutritional assessment and therapy

Nutritional screening, nutritional plan, follow-up and instructions on discharge

Intervention Type: PROCEDURE

Standard care

Nutritional handling by nurse

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• adult
• acutely admitted to hospital

Exclusion Criteria

• dementia
• unable to comply with the protocol

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Jens Rikardt Andersen

OTHER

Sponsor Role: lead

Responsible Party

Jens Rikardt Andersen

Associate Professor

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

Jens R Andersen

Role: PRINCIPAL_INVESTIGATOR

University of Copenhagen

Other Identifiers

H-15004856

Identifier Type: -

Identifier Source: org_study_id