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Quality Improvement Program (QIP) to Reduce 30-Day Readmission in Malnourished Hospitalized Patients

Does a Rapid, Comprehensive Oral Nutritional Supplementation Quality Improvement Program (QIP) Reduce 30-Day Readmission in Malnourished Hospitalized Patients?

Status
Terminated
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02262429
Enrollment
2386
Registered
2014-10-13
Start date
2014-10-31
Completion date
2015-08-31
Last updated
2015-10-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Malnutrition

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

OTHERONS QIP

Rapid comprehensive ONS, dietary consult, follow up phone calls

OTHERONS Standard Feeding

Standard of care

Sponsors

Wake Forest University Health Sciences
CollaboratorOTHER
Abbott Nutrition
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Post-discharge readmissionsNovember 2014 - April 2015, 30 days post dischargeNon-elective readmission 30 days post discharge.

Secondary

MeasureTime frameDescription
Hospital length of stayOctober 2014 - March 2015, up to 6 monthsLength of stay in the hospital will be calculated by looking at the admission and discharge dates.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 24, 2026