Effect of Nutritional Efforts on Discharged Elderly Patients
The study is a randomized controlled study, ongoing over 16 weeks. At discharge, the intervention group receives guidance from a clinical dietician, where an individual nutrition plan is made. The dietitian will perform a telephone follow-up after 4 and 30 days. It will also be possible for the participant, relatives or municipality to contact the dietician if nutritional questions arise.
At the time of discharge the intervention group will receive a package containing foods and drinks that will cover their nutritional needs the first day after discharge.
They will also get a goodiebag containing samples on protein-rich milk-based drinks. Data is collected on quality of life, appetite, physical function, dietary intake, weight, height, energy and protein needs, as well as experience of discharge and cooperation with the municipality.
If there is a need, information about nutrition status will be sent to the municipality so the municipality can take over nutritional treatment.
The control group receives standard treatment.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Herlev, Denmark, 2730
- Unit for Dietetics and Nutrition Research, Herlev hosipital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients admitted to Oncology, Gastro-medical / Surgical, and Medical Department, HGH, Herlev.
- Age: 50+
- At admission, found in nutritional risk score ≥3 according to NRS-2002.
- On special food concept, Herlev's Glories during hospitalization
- Discharged to own home in a municipality in Planområde Midt (Ballerup, Herlev, Lyngby-Tårbæk, Gentofte, Gladsaxe, Rødovre, Egedal, Rudersdal, Furesø).
- Can read, hear and understand Danish
- Cognitive able to participate in the study, based on whether they are informed in time, place and own data.
Exclusion Criteria:
- Food allergy or intolerance
- Planned weight loss or following a special diet
- Receives enteral or parenteral nutrition
- Patients with moderate to severe dysphagia, defined with a need for gratin or a creamy diet
- Patients who does not want a food package or goodiebag
- Patients who are permanently bedridden
- Patients who are discharged to nursing homes or rehabilitation
- Patients in isolation
- Late palliative patients
- Terminal patients
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Intervention
Intervention group Individual nutritional therapy |
Guidance from a clinical dietician. Individual nutrition plan A package containing foods and drinks, which will cover their nutritional needs the first day after discharge. A goodiebag containing samples on protein-rich milk-based drinks. Telephone follow-up after 4 and 30 days and the possibility to call the dietician in case of questions about nutrition. |
|
No Intervention: Control
Control group Standard treatment |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Hospital readmissions
Time Frame: 6 months
|
6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mortality
Time Frame: 30 days, 16 weeks, 6 months
|
30 days, 16 weeks, 6 months
|
|
|
Weight
Time Frame: 16 weeks
|
16 weeks
|
|
|
Protein intake
Time Frame: 16 weeks
|
24 hour recall
|
16 weeks
|
|
Energi Intake
Time Frame: 16 weeks
|
24 hour recall
|
16 weeks
|
|
Appetite
Time Frame: 16 weeks
|
SNAQ
|
16 weeks
|
|
Health related Quality of life
Time Frame: 16 weeks
|
EQ-5D
|
16 weeks
|
|
Physical function
Time Frame: 16 weeks
|
30-s CST
|
16 weeks
|
|
Hospital readmissions
Time Frame: 30 days, 16 weeks
|
30 days, 16 weeks
|
|
|
Combined adverse advents
Time Frame: 30 days, 16 weeks, 6 months
|
30 days, 16 weeks, 6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Munk T, Svendsen JA, Knudsen AW, Ostergaard TB, Thomsen T, Olesen SS, Rasmussen HH, Beck AM. A multimodal nutritional intervention after discharge improves quality of life and physical function in older patients - a randomized controlled trial. Clin Nutr. 2021 Nov;40(11):5500-5510. doi: 10.1016/j.clnu.2021.09.029. Epub 2021 Sep 24.
- Munk T, Svendsen JA, Knudsen AW, Ostergaard TB, Beck AM. Effect of nutritional interventions on discharged older patients: study protocol for a randomized controlled trial. Trials. 2020 Apr 28;21(1):365. doi: 10.1186/s13063-020-04301-6.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2007-58-0015 (Danish Data Protection Agency)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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