Organization of the Dietetic Service in a Hospital

Malnutrition Clinical Trial

Official title:

Organization of the Dietetic Service in a Hospital - on the Ward or Centralized?

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03582202
• Other study ID #: H-15004856
• Status: Completed
• Phase: N/A
• Start date: April 18, 2015
• Est. completion date: April 22, 2017

Study information

• Verified date: July 2018
• Source: University of Copenhagen
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 33
• Est. completion date: April 22, 2017
• Est. primary completion date: April 25, 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• adult

• acutely admitted to hospital

Exclusion Criteria:

• dementia

• unable to comply with the protocol

Related Conditions & MeSH terms

• Malnutrition
• Nutrition Disorders
• Nutritional Disease

Intervention

Procedure:
• Nutritional assessment and therapy
Nutritional screening, nutritional plan, follow-up and instructions on discharge
• Standard care
Nutritional handling by nurse

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Jens Rikardt Andersen

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	re-admission-rate after discharge (%)	admission for the same diagnosis	2 months
Secondary	intake of protein during hospital stay	% of estimated needs	1 week
Secondary	intake of energy during hospital stay	% of estimated needs	1 week