Effect of nutritional interventions on discharged older patients: study protocol for a randomized controlled trial

Abstract Background During hospitalization, many older patients are at nutritional risk or malnourished, and their nutritional condition is often further impaired during hospitalization. After discharge, a “nutrition gap” often occurs in which the patient does not receive enough nutrition to ensure...

Full description

Bibliographic Details
Main Authors: Tina Munk, Jonas Anias Svendsen, Anne Wilkens Knudsen, Tanja Bak Østergaard, Anne Marie Beck
Format: Article
Language:English
Published: BMC 2020-04-01
Series:Trials
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13063-020-04301-6
_version_ 1818215619334504448
author Tina Munk
Jonas Anias Svendsen
Anne Wilkens Knudsen
Tanja Bak Østergaard
Anne Marie Beck
author_facet Tina Munk
Jonas Anias Svendsen
Anne Wilkens Knudsen
Tanja Bak Østergaard
Anne Marie Beck
author_sort Tina Munk
collection DOAJ
description Abstract Background During hospitalization, many older patients are at nutritional risk or malnourished, and their nutritional condition is often further impaired during hospitalization. After discharge, a “nutrition gap” often occurs in which the patient does not receive enough nutrition to ensure an optimal recovery. Methods The study is a randomized controlled study ongoing over 112 days. At discharge, the intervention group receives guidance from a clinical dietitian, and an individualized nutrition plan is made. The dietitian will perform telephone follow-up after 4 and 30 days. It will also be possible for the participant, the participant’s relatives, or the participant’s municipality to contact the dietitian 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 on the first day after discharge. They will also receive a goodie bag containing samples of protein-rich, milk-based drinks. Data are collected on quality of life, appetite, physical function, dietary intake, weight, height, energy and protein needs, and experience of discharge and cooperation with the municipality. Information about nutrition status will be sent to the municipality so that the municipality can take over nutritional treatment. The control group receives a standard treatment. Discussion This study is the first to combine previously successful single nutritional interventions into a multimodal intervention whose aim is to obtain an effect on patient-related outcomes. We hope that the results will prove beneficial and help to ensure the cross-sector quality of nutritional support to older patients. Trial registration ClinicalTrials.gov, NCT03488329 . April 5, 2018.
first_indexed 2024-12-12T06:38:57Z
format Article
id doaj.art-6e678925cda84fcaa416110db4b5e614
institution Directory Open Access Journal
issn 1745-6215
language English
last_indexed 2024-12-12T06:38:57Z
publishDate 2020-04-01
publisher BMC
record_format Article
series Trials
spelling doaj.art-6e678925cda84fcaa416110db4b5e6142022-12-22T00:34:24ZengBMCTrials1745-62152020-04-012111910.1186/s13063-020-04301-6Effect of nutritional interventions on discharged older patients: study protocol for a randomized controlled trialTina Munk0Jonas Anias Svendsen1Anne Wilkens Knudsen2Tanja Bak Østergaard3Anne Marie Beck4Dietetic and Nutritional Research Unit, Herlev-Gentofte University HospitalDietetic and Nutritional Research Unit, Herlev-Gentofte University HospitalDietetic and Nutritional Research Unit, Herlev-Gentofte University HospitalDietetic and Nutritional Research Unit, Herlev-Gentofte University HospitalDietetic and Nutritional Research Unit, Herlev-Gentofte University HospitalAbstract Background During hospitalization, many older patients are at nutritional risk or malnourished, and their nutritional condition is often further impaired during hospitalization. After discharge, a “nutrition gap” often occurs in which the patient does not receive enough nutrition to ensure an optimal recovery. Methods The study is a randomized controlled study ongoing over 112 days. At discharge, the intervention group receives guidance from a clinical dietitian, and an individualized nutrition plan is made. The dietitian will perform telephone follow-up after 4 and 30 days. It will also be possible for the participant, the participant’s relatives, or the participant’s municipality to contact the dietitian 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 on the first day after discharge. They will also receive a goodie bag containing samples of protein-rich, milk-based drinks. Data are collected on quality of life, appetite, physical function, dietary intake, weight, height, energy and protein needs, and experience of discharge and cooperation with the municipality. Information about nutrition status will be sent to the municipality so that the municipality can take over nutritional treatment. The control group receives a standard treatment. Discussion This study is the first to combine previously successful single nutritional interventions into a multimodal intervention whose aim is to obtain an effect on patient-related outcomes. We hope that the results will prove beneficial and help to ensure the cross-sector quality of nutritional support to older patients. Trial registration ClinicalTrials.gov, NCT03488329 . April 5, 2018.http://link.springer.com/article/10.1186/s13063-020-04301-6Hospital readmissionsMalnutritionCross-sectoral transitionNutritional interventionDischarge follow-upOlder patients
spellingShingle Tina Munk
Jonas Anias Svendsen
Anne Wilkens Knudsen
Tanja Bak Østergaard
Anne Marie Beck
Effect of nutritional interventions on discharged older patients: study protocol for a randomized controlled trial
Trials
Hospital readmissions
Malnutrition
Cross-sectoral transition
Nutritional intervention
Discharge follow-up
Older patients
title Effect of nutritional interventions on discharged older patients: study protocol for a randomized controlled trial
title_full Effect of nutritional interventions on discharged older patients: study protocol for a randomized controlled trial
title_fullStr Effect of nutritional interventions on discharged older patients: study protocol for a randomized controlled trial
title_full_unstemmed Effect of nutritional interventions on discharged older patients: study protocol for a randomized controlled trial
title_short Effect of nutritional interventions on discharged older patients: study protocol for a randomized controlled trial
title_sort effect of nutritional interventions on discharged older patients study protocol for a randomized controlled trial
topic Hospital readmissions
Malnutrition
Cross-sectoral transition
Nutritional intervention
Discharge follow-up
Older patients
url http://link.springer.com/article/10.1186/s13063-020-04301-6
work_keys_str_mv AT tinamunk effectofnutritionalinterventionsondischargedolderpatientsstudyprotocolforarandomizedcontrolledtrial
AT jonasaniassvendsen effectofnutritionalinterventionsondischargedolderpatientsstudyprotocolforarandomizedcontrolledtrial
AT annewilkensknudsen effectofnutritionalinterventionsondischargedolderpatientsstudyprotocolforarandomizedcontrolledtrial
AT tanjabakøstergaard effectofnutritionalinterventionsondischargedolderpatientsstudyprotocolforarandomizedcontrolledtrial
AT annemariebeck effectofnutritionalinterventionsondischargedolderpatientsstudyprotocolforarandomizedcontrolledtrial