L89 K59
Conditions
Interventions
Group 1: The intervention of this study consists of individual nutritional therapy, based
on the nutritional assessment, which is followed by the calculation of individual calorie or protein targets.
Increase in meal frequency
diet/nutritional counseling, e.g.
high-calorie beverages
Stage 2: Stage 1 + oral nutritional supplements
Stage 3: Stage 1 + 2 + supplemented oral nutrition/parenteral
Total enteral nutrition
enteral + parenteral nutrition
Stage 4: Parenteral nutrition + minimal enteral nutrition
Stage 5: Total parenteral nutrition
In order to provide nutritional intervention to subjects for whom persona
Sponsors
Vivantes Humboldt Klinikum
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: Residents of Vivantes Hauptstadtpflege Haus Leonore: age = 65 years
Exclusion criteria
Exclusion criteria: Absolute non-compliance likely (e.g., due to severe dementia syndrome, Korsakow's syndrome, etc.) = non-compliance with the Instructions of the nursing staff - In temporary care/preventive care only. - Nutritional therapy has already been initiated Acute situations, such as acute severe inflammatory event (e.g. pancreas) or acute organ insufficiency - Contraindication for nutritional support exists, such as condition in the terminal phase of death - Cardiac pacemaker is inserted (as these persons must be excluded from a BIA measurement). must be excluded)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint of this study is the recurrence of an adverse clinical event within clinical event within 10 weeks (y/n). This is a composite endpoint, consisting of various geriatric Comorbidities that potentially increase the burden of care: Recurrence Wound area/decubitus or visible enlargement Wound area/decubitus or New onset Falls or new onset Hospitalizations or new onset Constipation or 10% decrease in Barthel index of the Barthel Index, which measures the ability to perform daily tasks of self-care. Once at least one of these events occurs, it is clinical outcome (ACO=yes), if none of these events is new, the patient is If none of these events occurs, then by definition there is no new adverse clinical outcome (ACO=no). This composite endpoint is dichotomous, it is is formed following Schuetz et al [5]. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints of this study are all comorbidities summarized in the composite endpoint Comorbidities summarized, each considered individually: New onset or Worsening Wound area/decubiti, new occurrence Falls, new occurrence Hospitalizations, new onset of constipation/cases of constipation, new onset or worsening diarrhea, new-onset aspiration, and the Barthel index. Because nutritional status has been shown in previous studies to be closely associated with multimorbidity, a further secondary endpoint will be body weight and risk of body weight and the risk of malnutrition and sarcopenia, measured by Mini Nutritional Risk Screenings (Long Form), and the SARC-F Questionnaire. | — |
Countries
Germany
Contacts
Public ContactDiana Rubin
Vivantes Humboldt Klinikum
Outcome results
None listed