Nutritional Screening in Older Individuals

Malnourished Clinical Trial

Official title:

Nutritional Screening in Community Living Older Individuals at High Risk of Hospital Admission.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03278678
• Other study ID #: SanjuanS
• Status: Completed
• Phase: N/A
• First received: September 6, 2017
• Last updated: September 11, 2017
• Start date: May 1, 2016
• Est. completion date: June 30, 2016

Study information

• Verified date: September 2017
• Source: Sanjuan, Silvia Forcano, M.D.
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Hospital-based case management programs and home hospitalization services following the risk stratification model of Kaiser Permanente and Kings Fund select an estimated 5% of older individuals living in the community who are at high risk of hospitalization and adverse outcomes. The objective of these services is to avoid deterioration and hospital admissions or visits to the emergency services by regular follow-up, proactive home visits and support of self-care . The prevalence of malnutrition in patients selected using this model of care is unknown.

Description:

The aim of this study was to estimate the prevalence of malnutrition, using the MNA, in this high-risk community living population, and to explore risk factors that could identify subgroups of individuals at higher risk.

This study was performed in individuals included in a Case Management (CM) Program lead by the Telemedicine Unit of a tertiary university hospital in Valencia. Patients admitted to the hospital with two or more hospital admissions for medical reasons in the previous year are detected by a computerized system and included in the program, an integrated care intervention developed for patients with complex multimorbidity using patient-centred education activities and integrated care interventions, with the support of a Hospital at Home Unit (HHU). Telephone follow-ups by case manager nurses are focused on identifying problems and detecting disease exacerbations. The main aim of this program is to avoid hospital admissions and reduce the number of visits to emergency services

Recruitment information / eligibility

• Status: Completed
• Enrollment: 791
• Est. completion date: June 30, 2016
• Est. primary completion date: June 30, 2016
• Gender: All
• Age group: 65 Years to 105 Years

Eligibility

Inclusion Criteria:

• Patients included at Case Management Program for complex chronic condition

• Must be able to answer questions on the telephone

Exclusion Criteria:

• Subjects with no telephone,

• Subjects unable to determine their usual weight

• End-of-life clinical situation

Related Conditions & MeSH terms

• Malnourished
• Malnutrition

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Sanjuan, Silvia Forcano, M.D.	Ministerio de Sanidad, Servicios Sociales e Igualdad

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Risk factors of malnutrition	feeding route, use of dental prosthesis, dysphagia, consistency of foods, specific diets, oral nutritional supplements, patient group, polypharmacy, history of falls, dementia, presence of musculoskeletal, cerebrovascular, gastrointestinal or oncological disease, multimorbidity	2 months
Primary	prevalence of malnutrition	prevalence of malnutrition by using MNA-SF	2 months
Secondary	sexBMI	male or female, average age, BMI	2 months
Secondary	age	average age in years	2 months
Secondary	BMI	body mass index in Kg / m^2	2 months