Nutritional Risk and Use of Health Care Services

NCT04271982 | Completed

• 1 other identifier: 2018-01136
• Study Type: observational
• Target: 270,560
• Locations: 0 countries
• Sites: N/A

Brief Summary

This longitudinal observation study investigates associations between nutritional risk in adults aged 65+ and use of health services, morbidity and mortality. The first hypothesis is that older service users at nutritional risk will use a higher number of services/consultations and have a higher morbidity and mortality, compared to older patients not at nutritional risk. Further, the study evaluates the usefulness of the tool 'nutrition plan'. The second hypothesis is that older service users at nutritional risk who have a nutrition plan have lower subsequent morbidity and mortality, compared to older service users at nutritional risk without a nutrition plan.

Conditions

Nutritional Risk; Malnutrition

Keywords

Older; Population; Health services

Outcome Measures

Primary Outcomes (3)

• Hospital re-admission

  Operationalised as number of admissions or time until admission (cohort A and B)

  2008-2020

• Morbidity

  Operationalised as number and severity of diagnoses (cohort A and B)

  2008-2020

• Mortality

  Operationalised as death or time until death (cohort A and B)

  2008-2020

Secondary Outcomes (2)

• Admission to nursing home

  2017-2020

• Extent of community health services received

  2017-2020

Study Arms (2)

Cohort A

Cohort A includes patients (N=20 000) screened for nutritional risk at Haukeland University Hospital (HUS) during point prevalence surveys between 2008 and 2018. The point prevalence surveys included all adult patients in somatic departments, and were performed 2-4 times per year since 2008. We expect the sample in the study to include approx. 9000 patients ≥ 65 years.

Cohort B

Cohort B includes older service users (≥65 years) with information on nutrition variables from the KPR-registry in the period 2016 to 2018 (n=approx. 270 560). All Norwegian municipalities report data on nutritional risk screening and nutrition plan for individual service users in "Kommunalt pasientregister" (KPR). These nutritional data will be linked to registry data on health care services use and patient outcome variables from the "The Norwegian Patient Registry" (NPR)

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Two cohorts of adults aged 65+: Cohort A includes in-patients in Haukeland University Hospital (HUS), cohort B includes services users in all Norwegian municipalities

You may qualify if:

• Study A. Patients in hospital aged 65+
• Study B. All service users in municipalities aged 65+

You may not qualify if:

• Age \<65 years

Sponsors & Collaborators

• Eva Biringer: lead
• University of Bergen: collaborator
• Western Norway University of Applied Sciences: collaborator
• Helse-Bergen HF: collaborator

MeSH Terms

Conditions

Malnutrition

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases

Study Officials

• Eva Biringer, PhD

  Helse Fonna

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 10 Years
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Senior Researcher

Study Record Dates

• First Submitted: February 13, 2020
• First Posted: February 17, 2020
• Study Start: January 1, 2008
• Primary Completion: December 31, 2018
• Study Completion: December 31, 2018
• Last Updated: February 17, 2020

Record last verified: 2020-02

Data Sharing

• IPD Sharing: Will not share