Malnutrition
Conditions
Brief summary
Newly admitted patients will be screened for risk of malnutrition. Patients will receive either the feeding protocol or current oral nutrition supplement (ONS) practice, pending location. Patients will continue the nutrition plan taking the supplement post discharge. Study team will follow-up with telephone calls to help support post-discharge ONS compliance. Quality and service utilization data will be gathered for analysis.
Interventions
Rapid comprehensive ONS, dietary consult, follow up phone calls
Standard of care
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient is ≥ 18 years of age. * Patient is screened for malnutrition with an MST score ≥ 2 (see Appendix C). * Patient has length of stay of hospital stay \> 2 days. * Patient is able to consume foods and beverages orally. * Patient receives Ensure, Nepro or Glucerna during the course of his or her hospital stay in connection with the QIP.
Exclusion criteria
* Patient is pregnant. * Patient is intubated, receiving tube feeding or parenteral nutrition. * Patient unable to provide HIPAA authorization and informed consent. * Patient is discharged to hospice care. * Patient has a condition that would preclude ingestion / absorption of the oral nutritional supplements, including allergic response to any ONS ingredient. * Patient has severe dementia or delirium, brain metastases, eating disorder, history of significant neurological or psychiatric disorder. * Patient has stated an allergy or intolerance to any of the ingredients in the study products.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-discharge readmissions | November 2014 - April 2015, 30 days post discharge | Non-elective readmission 30 days post discharge. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospital length of stay | October 2014 - March 2015, up to 6 months | Length of stay in the hospital will be calculated by looking at the admission and discharge dates. |
Countries
United States