Personalized Dietary Advice After Discharge From Hospital in Geriatrics: Factors Associated With Improved Nutritional Status and Autonomy

NCT ID: NCT04016532

Last Updated: 2023-01-12

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 338 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-06-25
• Study Completion Date: 2023-09-30

Brief Summary

The purpose of this study is to identify the factors associated with the effectiveness of home dietary management in these elderly people returning home (personal home or independent residence) after hospitalization in acute geriatrics.

Detailed Description

Patient recruitment will be carried out in the 6 participating hospital centres.

All patients willing to participate, will benefit from an Inclusion Visit (J0): Conducted in hospital in acute geriatric services before discharge from hospital. Verification of inclusion criteria, collection of patient consent by investigator, assignment of patient identification number, declaration of inclusion, and collection by investigator of inclusion data (age, sex, weight, height, appetite, dietary intake scale, risk factors for undernutrition by HAS, albumin, CRP, exit treatment, ADL, IADL and GIR, technical aids for walking, presence of professional and non-professional home workers).

Home visit J7 (30 min to 1 hour): initial dietary assessment, will be carried out between 24 hours and 7 days after discharge from hospital. During this visit, the dietician will perform several measurements (MNA-SF, weight, height, appetite assessment, ingest/24h Consumption of NOCs if prescribed in hospital, Quality of Life, ADL, IADL, acceptance of visit, follow-up of dietary advice and intercurrent medical events).

Home visit J30, J60 (30 min to 1h): Made by the dietician, during these visits will be carried out various measurements and questionnaires: Appetite assessment, weight, ingesta/24h, consumption of NOCs, acceptance of the visit, follow up on dietary advice, compendiums of intercurrent medical events.

Home visit J90 = Final visit. This visit is identical to the initial assessment (J7). Patients who are undernourished or at risk of undernutrition will receive an additional J15 home visit (15 days after discharge from hospital). This visit will be identical to visits J30, J60.

Conditions

Undernutrition of Elderly Peopole

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

Patient malnourished or at risk of undernutrition

Dietary follow-up at home: 4 visits (D15, D30, D60, D90)

Group Type: OTHER

Personalized dietary management at home

Intervention Type: DIETARY_SUPPLEMENT

Personalized dietary management at home to improve nutritional status.

• Four (J7, J30, J60 and J90 for non-undernutrition patients) or five Home visits (J7, J15, J30 and J90 for undernutrition patients or at risk of undernutrition) by professional dietitians from Saveurs & Vie over a period of 3 months after discharge from the hospital: personalized dietary advice and recipe sheet.
• There will be no change in medical prescriptions

Not undernourished patients

Dietary follow-up at home: 3 visits ( D30,D60, D90)

Group Type: OTHER

Personalized dietary management at home

Intervention Type: DIETARY_SUPPLEMENT

Personalized dietary management at home to improve nutritional status.

• Four (J7, J30, J60 and J90 for non-undernutrition patients) or five Home visits (J7, J15, J30 and J90 for undernutrition patients or at risk of undernutrition) by professional dietitians from Saveurs & Vie over a period of 3 months after discharge from the hospital: personalized dietary advice and recipe sheet.
• There will be no change in medical prescriptions

Interventions

Personalized dietary management at home

Personalized dietary management at home to improve nutritional status.

• Four (J7, J30, J60 and J90 for non-undernutrition patients) or five Home visits (J7, J15, J30 and J90 for undernutrition patients or at risk of undernutrition) by professional dietitians from Saveurs & Vie over a period of 3 months after discharge from the hospital: personalized dietary advice and recipe sheet.
• There will be no change in medical prescriptions

Intervention Type: DIETARY_SUPPLEMENT

Eligibility Criteria

Inclusion Criteria

• Unscheduled hospitalization of at least 4 days in acute geriatrics,
• Direct return to home or independent residence after hospitalization,
• To be domiciled in the Hauts-de-Seine department,
• Good understanding of the French language,
• Beneficiary of a social security scheme,
• Having read the briefing note and having consented to participate in the study by signing a written consent,

Exclusion Criteria

• Severe cognitive impairment according to DMS-IV criteria,
• Inflammatory syndrome (CRP > 30 mg/l)
• Evolving cancer;
• Chronic respiratory failure,
• Stage IV heart failure
• long-term corticosteroids (> 10 mg/d prednisolone or equivalent),
• Enteral and parenteral nutrition at home,
• Chronic end-stage pathology;
• Inability to walk without human help
• Major person subject to a legal protection measure (guardianship, guardianship and safeguarding of justice)

• Minimum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Gérond'if

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Christine CHANSIAUX, MD

Role: STUDY_CHAIR

Geriatric Departement, Rives de Seine hospital

Locations

Geriactric Departement, Rives de Seine hopsital

Courbevoie, Île-de-France Region, France

Site Status: RECRUITING

Countries

France

Central Contacts

Isabelle Dufour

Role: CONTACT

isabelle.dufour@gerondif.org

+ 33 (0) 185781010

Prisca Lucas, PhD

Role: CONTACT

prisca.lucas@gerondif.org

+ 33 (0) 185751010

Facility Contacts

Christine Chansiaux, MD

Role: primary

cchansiaux@ch-rivesdeseine.fr

+ 33 (0) 149043191

Other Identifiers

2018-A03458-47

Identifier Type: -

Identifier Source: org_study_id