Nutritional Screening in Older Individuals

Nutritional Screening in Community Living Older Individuals at High Risk of Hospital Admission.

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03278678

Enrollment

791

Registered

2017-09-12

Start date

2016-05-01

Completion date

2016-06-30

Last updated

2017-09-13

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

Conditions

Malnourished

Keywords

Nutritional screening MNA-SF malnutrition Case Management

Brief summary

Hospital-based case management programs and home hospitalization services following the risk stratification model of Kaiser Permanente and Kings Fund select an estimated 5% of older individuals living in the community who are at high risk of hospitalization and adverse outcomes. The objective of these services is to avoid deterioration and hospital admissions or visits to the emergency services by regular follow-up, proactive home visits and support of self-care . The prevalence of malnutrition in patients selected using this model of care is unknown.

Detailed description

The aim of this study was to estimate the prevalence of malnutrition, using the MNA, in this high-risk community living population, and to explore risk factors that could identify subgroups of individuals at higher risk. This study was performed in individuals included in a Case Management (CM) Program lead by the Telemedicine Unit of a tertiary university hospital in Valencia. Patients admitted to the hospital with two or more hospital admissions for medical reasons in the previous year are detected by a computerized system and included in the program, an integrated care intervention developed for patients with complex multimorbidity using patient-centred education activities and integrated care interventions, with the support of a Hospital at Home Unit (HHU). Telephone follow-ups by case manager nurses are focused on identifying problems and detecting disease exacerbations. The main aim of this program is to avoid hospital admissions and reduce the number of visits to emergency services

Interventions

None listed

Study design

Observational model

OTHER

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

65 Years to 105 Years

Inclusion criteria

* Patients included at Case Management Program for complex chronic condition * Must be able to answer questions on the telephone

Exclusion criteria

* Subjects with no telephone, * Subjects unable to determine their usual weight * End-of-life clinical situation

Design outcomes

Primary

Measure	Time frame	Description
prevalence of malnutrition	2 months	prevalence of malnutrition by using MNA-SF

Secondary

Measure	Time frame	Description
sexBMI	2 months	male or female, average age, BMI
age	2 months	average age in years
BMI	2 months	body mass index in Kg / m\^2

Other

Measure	Time frame	Description
Risk factors of malnutrition	2 months	feeding route, use of dental prosthesis, dysphagia, consistency of foods, specific diets, oral nutritional supplements, patient group, polypharmacy, history of falls, dementia, presence of musculoskeletal, cerebrovascular, gastrointestinal or oncological disease, multimorbidity

Outcome results