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MalnutritionNCT03488329

Effect of Nutritional Efforts on Discharged Elderly Patients

A study testing Individual nutritional therapy in people with Malnutrition, run by Herlev Hospital at 1 site in Denmark.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 50 years and older
Conditions the study is for
Malnutrition
What is being tested?
Individual nutritional therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
207 participants
Where
1 siteDenmark
Study dates
1 May 2018to 1 Mar 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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.

Who cannot join

  • 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
Show all 10Show fewer
  • Patients who are discharged to nursing homes or rehabilitation
  • Patients in isolation
  • Late palliative patients
  • Terminal patients

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Unit for Dietetics and Nutrition Research, Herlev hosipital

    Herlev, 2730

Other trials in Denmark

About this study

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.

Read more

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.

Conditions
Malnutrition
Being tested
Individual nutritional therapy
Keywords
Hospital readmissions, Seniors
Medical subject headings
Malnutrition

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Individual nutritional therapyDietary supplement

    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.

Study groups in NCT03488329
Study groupRoleWhat they receive
InterventionExperimentalIntervention group Individual nutritional therapy
Receives: Dietary Supplement: Individual nutritional therapy
ControlNo interventionControl group Standard treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Hospital readmissions

    Measured: 6 months

Secondary outcomes (9)
  1. Mortality

    Measured: 30 days, 16 weeks, 6 months

  2. Weight

    Measured: 16 weeks

  3. Protein intake

    24 hour recall

    Measured: 16 weeks

  4. Energi Intake

    24 hour recall

    Measured: 16 weeks

  5. Appetite

    SNAQ

    Measured: 16 weeks

  6. Health related Quality of life

    EQ-5D

    Measured: 16 weeks

  7. Physical function

    30-s CST

    Measured: 16 weeks

  8. Hospital readmissions

    Measured: 30 days, 16 weeks

  9. Combined adverse advents

    Measured: 30 days, 16 weeks, 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Apr 2018
  2. Study start1 May 2018
  3. Primary completion1 Mar 2020
  4. Study completion1 Mar 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
207 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03488329
Sponsor's protocol ID
2007-58-0015
Status last verified
Jan 2021
First submitted
15 Feb 2018
Last updated
6 Jan 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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.

    PubMed 34656032
  • 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.

    PubMed 32345358

Questions about this trial

What is this clinical trial studying?

A study testing Individual nutritional therapy in people with Malnutrition, run by Herlev Hospital at 1 site in Denmark.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Hospital readmissions (time frame: 6 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03488329, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jan 2021.

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