The Effect of Nutrition Follow up After Hospital Discharge in Undernourished Elderly

NCT01345032 | Completed

• 1 other identifier: 23012011
• Study Type: interventional
• Target: 208
• Locations: 1 country
• Sites: 2

Brief Summary

The purpose of this study is to test two different interventions of nutrition follow up after discharge from geriatric ward in undernourished geriatric patients. The patients are randomized to a home visit arm, a telephone consultation arm, or a control arm. Patients in the home visit arm and their home care helper will get visits from a clinical dietician at one week, two weeks and four weeks after discharge, in order to follow up on the nutrition intervention. Patients in the telephone consultation arm and their home care helper will be contacted by a clinical dietician at one week, two weeks and four weeks after discharge, in order to follow up on the nutrition intervention. The control arm will not be contacted. The primarily outcome is functional ability. Secondary outcomes are quality of life, readmission and mortality.

Conditions

Under Nutrition

Outcome Measures

Primary Outcomes (1)

• Functional ability.

  Measurements: Barthel-100 Index, Cumulated Ambulation Score (CAS), handgrip strength, part of senior fitness test,fatigue test (Avlund)

  Between discharge and 8 weeks after discharge

Secondary Outcomes (5)

• Quality of Life

  Between discharge and 8 weeks after discharge

• Mortality

  Between discharge and 30 after discharge

• Readmission to hospital

  Between discharge and 30 days after discharge

• Readmission

  Between discharge and 90 days after discharge

• Mortality

  Between discharge and 90 days after discharge

Study Arms (3)

Home visits

EXPERIMENTAL

Nutritional follow-up after discharge, conducted as nutritional counselling performed as in-person counselling in the participants homes

Other: Home visit

Telephone consultation

EXPERIMENTAL

Nutritional follow-up after discharge, conducted as nutritional counselling performed as telephone consultation

Other: Telephone consultation

Control

NO INTERVENTION

No follow-up after discharge

Interventions

Home visit OTHER

Patients and their homecare helper will receive visits from a clinical dietician 1 week, 2 weeks and 4 weeks after discharge. The purpose of the visits is follow up on the individual diet plan distributed at discharge and supply dietary advice.

Also known as: Aged 75 and over, Living alone, Receive help for home care services, Dietary advice after discharge by home visits

Home visits

Telephone consultation OTHER

Patients and their homecare helper will be contacted on telephone from a clinical dietician 1 week, 2 weeks and 4 weeks after discharge. The purpose of the telephone contact is follow up on the individual diet plan distributed at discharge and supply dietary advice.

Also known as: Aged 75 and over, Living alone, Receive help for home care services, Dietary advice after discharge by telephone consultation

Telephone consultation

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• aged 75 and over
• undernourished according to Mini Nutritional Assessment (MNA)
• living alone in own home
• admitted and discharged from geriatric ward Aarhus, Denmark, due to various acute somatic disorders

You may not qualify if:

• active cancer
• mental disorder (MMSE\<22)
• live together with another person
• live in a nursing home

Sponsors & Collaborators

• Aarhus University Hospital: lead

Study Sites (2)

Aarhus Universityhospital, Geriatric Department

Aarhus, 8000, Denmark

Location

Geriatric Department

Aarhus, 8000, Denmark

Location

MeSH Terms

Interventions

House Calls; Home Environment; Home Care Services

Intervention Hierarchy (Ancestors)

Professional Practice; Organization and Administration; Health Services Administration; Residence Characteristics; Demography; Population Characteristics; Family Characteristics; Socioeconomic Factors; Environment; Environment and Public Health; Epidemiologic Measurements; Public Health; Community Health Services; Health Services; Health Care Facilities Workforce and Services; Nursing Services

Study Officials

• Jette Lindegaard Pedersen, MHSc.

  Aarhus University Hospital

  PRINCIPAL INVESTIGATOR

• Else Marie S. Damsgaard, Professor

  Aarhus University Hospital

  STUDY CHAIR

• Preben Ulrich Pedersen, Ph.D.

  University of Aarhus

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical research nurse

Study Record Dates

• First Submitted: April 28, 2011
• First Posted: April 29, 2011
• Study Start: June 1, 2011
• Primary Completion: January 1, 2014
• Study Completion: December 1, 2015
• Last Updated: December 31, 2015

Record last verified: 2015-12

Locations

DK (2)