Individual nutritional intervention for prevention of readmission among geriatric patients—a randomized controlled pilot trial

Abstract Background Approximately 20% of older people are readmitted to the hospital within 30 days of discharge. Even a short hospital stay decreases the ability to cope with the activities of daily living. The aims of this study were to (1) assess the feasibility of recruitment, (2) assess the acc...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Mai Østerø Cramon, Ines Raben, Anne Marie Beck, Jens Rikardt Andersen
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Readmission Nutritional Counseling Home visits after discharge Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/72c604cc86084ad6afe9af0af84f3970
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:72c604cc86084ad6afe9af0af84f3970
record_format	dspace
spelling	oai:doaj.org-article:72c604cc86084ad6afe9af0af84f39702021-11-21T12:08:52ZIndividual nutritional intervention for prevention of readmission among geriatric patients—a randomized controlled pilot trial10.1186/s40814-021-00926-92055-5784https://doaj.org/article/72c604cc86084ad6afe9af0af84f39702021-11-01T00:00:00Zhttps://doi.org/10.1186/s40814-021-00926-9https://doaj.org/toc/2055-5784Abstract Background Approximately 20% of older people are readmitted to the hospital within 30 days of discharge. Even a short hospital stay decreases the ability to cope with the activities of daily living. The aims of this study were to (1) assess the feasibility of recruitment, (2) assess the acceptability of the intervention, and (3) investigate if an individual nutritional intervention could reduce the readmission rate of geriatric patients within 30 days of being discharged to their own homes. Methods The unblinded, randomized, controlled pilot trial includes geriatric patients discharged to their own homes. Forty patients were recruited from a medical ward and randomized to standard treatment (n = 19) or individualized nutritional intervention (n = 21). The intervention was dietary counseling and a nutrition plan before discharge, combined with two home visits performed by an educated nutritionist over a period of 4 weeks. Outcomes were readmission (primary), mortality, protein and energy intake, body weight, activity of daily living, handgrip strength, number of chair stands, and quality of life. Intention-to-treat analysis, per-protocol analysis, and post hoc analysis of readmissions were carried out. Results Recruitment was feasible, and there was high compliance to the intervention. There was no difference in readmission between the intervention group and control group 30 days after discharge (29% vs 11%). The individual nutritional intervention had a positive impact on achieving 75% of energy requirements at 30 days for the intervention group compared to the control group (93% vs 47%, p = 0.01). No other differences were found between the groups. Conclusion The individual nutritional intervention did not prevent readmission among geriatric patients in this trial. Recruitment procedures functioned well, and the intervention was well accepted by the patients. Trial registration ClinicalTrial.gov, NCT03519139 . Retrospectively registered on 8 May 2018Mai Østerø CramonInes RabenAnne Marie BeckJens Rikardt AndersenBMCarticleReadmissionNutritional CounselingHome visits after dischargeMedicine (General)R5-920ENPilot and Feasibility Studies, Vol 7, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Readmission Nutritional Counseling Home visits after discharge Medicine (General) R5-920
spellingShingle	Readmission Nutritional Counseling Home visits after discharge Medicine (General) R5-920 Mai Østerø Cramon Ines Raben Anne Marie Beck Jens Rikardt Andersen Individual nutritional intervention for prevention of readmission among geriatric patients—a randomized controlled pilot trial
description	Abstract Background Approximately 20% of older people are readmitted to the hospital within 30 days of discharge. Even a short hospital stay decreases the ability to cope with the activities of daily living. The aims of this study were to (1) assess the feasibility of recruitment, (2) assess the acceptability of the intervention, and (3) investigate if an individual nutritional intervention could reduce the readmission rate of geriatric patients within 30 days of being discharged to their own homes. Methods The unblinded, randomized, controlled pilot trial includes geriatric patients discharged to their own homes. Forty patients were recruited from a medical ward and randomized to standard treatment (n = 19) or individualized nutritional intervention (n = 21). The intervention was dietary counseling and a nutrition plan before discharge, combined with two home visits performed by an educated nutritionist over a period of 4 weeks. Outcomes were readmission (primary), mortality, protein and energy intake, body weight, activity of daily living, handgrip strength, number of chair stands, and quality of life. Intention-to-treat analysis, per-protocol analysis, and post hoc analysis of readmissions were carried out. Results Recruitment was feasible, and there was high compliance to the intervention. There was no difference in readmission between the intervention group and control group 30 days after discharge (29% vs 11%). The individual nutritional intervention had a positive impact on achieving 75% of energy requirements at 30 days for the intervention group compared to the control group (93% vs 47%, p = 0.01). No other differences were found between the groups. Conclusion The individual nutritional intervention did not prevent readmission among geriatric patients in this trial. Recruitment procedures functioned well, and the intervention was well accepted by the patients. Trial registration ClinicalTrial.gov, NCT03519139 . Retrospectively registered on 8 May 2018
format	article
author	Mai Østerø Cramon Ines Raben Anne Marie Beck Jens Rikardt Andersen
author_facet	Mai Østerø Cramon Ines Raben Anne Marie Beck Jens Rikardt Andersen
author_sort	Mai Østerø Cramon
title	Individual nutritional intervention for prevention of readmission among geriatric patients—a randomized controlled pilot trial
title_short	Individual nutritional intervention for prevention of readmission among geriatric patients—a randomized controlled pilot trial
title_full	Individual nutritional intervention for prevention of readmission among geriatric patients—a randomized controlled pilot trial
title_fullStr	Individual nutritional intervention for prevention of readmission among geriatric patients—a randomized controlled pilot trial
title_full_unstemmed	Individual nutritional intervention for prevention of readmission among geriatric patients—a randomized controlled pilot trial
title_sort	individual nutritional intervention for prevention of readmission among geriatric patients—a randomized controlled pilot trial
publisher	BMC
publishDate	2021
url	https://doaj.org/article/72c604cc86084ad6afe9af0af84f3970
work_keys_str_mv	AT maiøsterøcramon individualnutritionalinterventionforpreventionofreadmissionamonggeriatricpatientsarandomizedcontrolledpilottrial AT inesraben individualnutritionalinterventionforpreventionofreadmissionamonggeriatricpatientsarandomizedcontrolledpilottrial AT annemariebeck individualnutritionalinterventionforpreventionofreadmissionamonggeriatricpatientsarandomizedcontrolledpilottrial AT jensrikardtandersen individualnutritionalinterventionforpreventionofreadmissionamonggeriatricpatientsarandomizedcontrolledpilottrial
_version_	1718419193347440640

Individual nutritional intervention for prevention of readmission among geriatric patients—a randomized controlled pilot trial

Ejemplares similares