Nutritional Support in Patients With Nutritional Risk. How we Can Improved the Prognosis and Quality of Life

NCT ID: NCT05299541

Last Updated: 2022-03-29

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

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-02

Study Completion Date

2021-01-11

Brief Summary

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Background: Many malnourished hospital patients remain after discharge. We aimed to enhance the meal experience after discharge by delivering meals together with physical support at the home and tested if this increased food intake affected survival and quality of life.

Patients and Methods: 60 discharged patients suffering from nutritional (MUST\>2) and financial frailty were included. Control group (C) took their regular nutrition at home for 6 months and study group (S) received a daily dinner tray sponsored by the municipality. Hazalla philanthropic organization encouraged the patients at lunch for 6 months. Body composition (Quadstat 4000, Bodystat, UK), energy requirements (Fitmate- COSMED, Italy) were measured at recruitement. Primary outcome was 180 days survival. In addition, in the recruitment stage and after a period of 3 and 6 months, depression and anxiety questionnaire (HADS), quality of Life Questionnaire-SF36and FIM questionnaire - designed to examine the level of independence of patients with disability were performed at days 0, 90 and 180. Statistical analysis used T- Test and ANOVA Repeated Measures. The study was approved by local IRB.

Detailed Description

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Conditions

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Malnutrition Quality of Life

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Investigators

Study Groups

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Control

Measurements and questioners

Group Type ACTIVE_COMPARATOR

Indirect calorimetric

Intervention Type DIAGNOSTIC_TEST

• The patient will be measured with an indirect calorimetry device (Fitmate - COSMED Srl. Rome, Italy) to assess the nutritional requirement.

Bioimpedance

Intervention Type DIAGNOSTIC_TEST

• The body composition test will be performed by the Bodystat®4000 Bioimpedance Device (BIA 4000, Bodystat, UK). .

Questioners

Intervention Type BEHAVIORAL

At 3 times point , in the recruit + 3 month and 6 month 3 questioners will be given:

HADS, Quality of life 36SF and FIM

Group A

Receiving Food dish every night for 6 months Measurements and questioners

Group Type ACTIVE_COMPARATOR

Food dish

Intervention Type DIETARY_SUPPLEMENT

All patients will be assessed for nutritional risk estimates (MUST) as well as a nutritional PANDORA estimate that predicts mortality, the Pandora estimate will be measured even after 3 and 6 months

Group A - will receive a dish of food every evening by a person employed by a rescue organization for 6 months

At the end of the meal once a week

* All dishes will be photographed at the end of the meal by Android camera, iPhone
* A NUTRITION DAY success photo form will be completed and collected .

Indirect calorimetric

Intervention Type DIAGNOSTIC_TEST

• The patient will be measured with an indirect calorimetry device (Fitmate - COSMED Srl. Rome, Italy) to assess the nutritional requirement.

Bioimpedance

Intervention Type DIAGNOSTIC_TEST

• The body composition test will be performed by the Bodystat®4000 Bioimpedance Device (BIA 4000, Bodystat, UK). .

Questioners

Intervention Type BEHAVIORAL

At 3 times point , in the recruit + 3 month and 6 month 3 questioners will be given:

HADS, Quality of life 36SF and FIM

Group B

Receiving Food dish every night for 6 months, at this group extra attention have given to the dish plating and appearance by professional (BOCUSE), Measurements and questioners

Group Type ACTIVE_COMPARATOR

Indirect calorimetric

Intervention Type DIAGNOSTIC_TEST

• The patient will be measured with an indirect calorimetry device (Fitmate - COSMED Srl. Rome, Italy) to assess the nutritional requirement.

Bioimpedance

Intervention Type DIAGNOSTIC_TEST

• The body composition test will be performed by the Bodystat®4000 Bioimpedance Device (BIA 4000, Bodystat, UK). .

Questioners

Intervention Type BEHAVIORAL

At 3 times point , in the recruit + 3 month and 6 month 3 questioners will be given:

HADS, Quality of life 36SF and FIM

Plated food dish

Intervention Type DIETARY_SUPPLEMENT

All patients will be assessed for nutritional risk estimates (MUST) as well as a nutritional PANDORA estimate that predicts mortality, the Pandora estimate will be measured even after 3 and 6 months Group b - will receive a food dish every evening by a person employed by a rescue organization with improved appearance of a plate for 6 months.

At the end of the meal once a week

* All dishes will be photographed at the end of the meal by Android camera, iPhone
* A NUTRITION DAY success photo form will be completed and collected .

Interventions

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Food dish

All patients will be assessed for nutritional risk estimates (MUST) as well as a nutritional PANDORA estimate that predicts mortality, the Pandora estimate will be measured even after 3 and 6 months

Group A - will receive a dish of food every evening by a person employed by a rescue organization for 6 months

At the end of the meal once a week

* All dishes will be photographed at the end of the meal by Android camera, iPhone
* A NUTRITION DAY success photo form will be completed and collected .

Intervention Type DIETARY_SUPPLEMENT

Indirect calorimetric

• The patient will be measured with an indirect calorimetry device (Fitmate - COSMED Srl. Rome, Italy) to assess the nutritional requirement.

Intervention Type DIAGNOSTIC_TEST

Bioimpedance

• The body composition test will be performed by the Bodystat®4000 Bioimpedance Device (BIA 4000, Bodystat, UK). .

Intervention Type DIAGNOSTIC_TEST

Questioners

At 3 times point , in the recruit + 3 month and 6 month 3 questioners will be given:

HADS, Quality of life 36SF and FIM

Intervention Type BEHAVIORAL

Plated food dish

All patients will be assessed for nutritional risk estimates (MUST) as well as a nutritional PANDORA estimate that predicts mortality, the Pandora estimate will be measured even after 3 and 6 months Group b - will receive a food dish every evening by a person employed by a rescue organization with improved appearance of a plate for 6 months.

At the end of the meal once a week

* All dishes will be photographed at the end of the meal by Android camera, iPhone
* A NUTRITION DAY success photo form will be completed and collected .

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* MUST =\>2
* Region of living Bney-Brak or Petah-tikwa
* Fine cognitive state

Exclusion Criteria

* Progressive cancer
* Dementia
* Fiddling by PEG or Enteral nutrient via Naso gastric tube
* Psychiatrics disorder
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rabin Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Pierre Singer

ICU Manager

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Pierre Singer, Prof

Role: PRINCIPAL_INVESTIGATOR

Rabin Medical Center

Locations

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Rabin medical center

Petah Tikva, , Israel

Site Status

Countries

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Israel

Other Identifiers

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0390-16-RMC

Identifier Type: -

Identifier Source: org_study_id

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