Malnutrition Clinical Trial
Official title:
Organization of the Dietetic Service in a Hospital - on the Ward or Centralized?
In Denmark the dieticians can be organized centrally and called upon if needed, or locally in
larger units, or very locally related to bed-units. The organization form is based on
tradition not on measurements of quality. We wanted to compare the very local form with the
traditional centralized.
Methods: Randomized, unblinded, parallel design. The intervention group (IT) was
nutritionally handled by the dietician, and the control group (C) by the nurses as previously
with the possibility for dietetic help from the center.
All patients were screened by NRS-2002 and had their estimated needs calculated (equations in
IT, tables in C). The IT was in addition assessed for adapted weight-loss, counseled with a
plan for nutrition and followed-up daily by the dietician if at nutritional risk. All
patients were re-screened weekly and had their intake registered. Hand-grib-strength (HGS)
was measured in both groups at admittance and discharge, and weight three times weekly.
The primary endpoint was re-admission rate to hospital within 2 months.
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