Malnutrition
Conditions
Keywords
Malnutrition,, qualitative study
Brief summary
Malnourished patients are at risk of many complications, including infections, pressure ulcers and readmissions. Little is known about their care pathway after hospital discharge. This study aims to determine care pathways of malnourished patients after hospital discharge and to determine what they need to better take care of their malnutrition.
Detailed description
All patients hospitalized in the post-emergency unit of Rennes University Hospital during the study period will be screened for malnutrition. Data concerning newly diagnosed malnourished patients will be recorded and those patients will be contacted 3 months after their hospital discharge. A qualitative study will be conducted among malnourished patients and their families : a sample of patients and their caregivers will be interviewed to better understand their perception of malnutrition and what they need to better take care of malnutrition.
Interventions
OTHERMalnourished patients
Data of included patients will be recorded during hospitalization using medical charts. Every patient will be contacted by phone 3 months after hospital discharge. A sample of patients and their caregivers will be interviewed to better understand their perception of malnutrition and what they need to better take care of malnutrition.
Sponsors
Rennes University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Malnourished patients, hospitalized in the post-emergency unit during the study period, according to the malnutrition diagnostic criteria defined by the French Health Authority : * age ≥ 70 years old: weight loss ≥ 5% within 1 month or ≥ 10% within 6 months and/or BMI \<21 and or serum albumin level \< 35 g/l * age \< 70 years old : weight loss ≥ 5% in 1 month or ≥ 10% in 6 months or ≥ 10% compared to the usual weight before the onset of the disease; or BMI \<18.5 kg / m2 Non-inclusion criteria : * refusing to participate in the study * age \< 18 years old * patients under tutorship or guardianship * patients living in retirement home * Patients without a fixed address
Exclusion criteria
: -patients transferred in another unit
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| evolution of malnutrition after hospital discharge | 3 months after discharge | Malnutrition diagnostic criteria defined by the French Health Authority : * If age ≥ 70 years old : weight loss ≥ 5% within 1 month and/or ≥ 10% within 6 months and/or BMI \< 21 kg/m² and/or serum albumin level \< 35 g/l * If age \< 70 years old: weight loss ≥ 5% within 1 month and/or ≥ 10% within 6 months and/or BMI \< 18,5 kg/m² level |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Describe the path of care following the hospitalization of patients diagnosed with malnutrition at the hospital | 3 months after discharge | * Number of hospital readmissions * Number of family physician consultations |
| Evaluate appropriation of patient regarding malnutrition | 3 months after discharge | Qualitative study by semi-structured patient interviews |
| Evaluate the perception of patient regarding malnutrition | 3 months after discharge | Qualitative study by semi-structured patient interviews |
| Evaluate expectations of patient regarding malnutrition | 3 months after discharge | Qualitative study by semi-structured patient interviews |
| Evaluate the needs of health professionals regarding undernutrition | 3 months after discharge | Qualitative study by semi-structured patient interviews |
| Evaluate the expectations of health professionals regarding undernutrition | 3 months after discharge | Qualitative study by semi-structured patient interviews |
| Evaluate knowledge of health professionals regarding undernutrition | 3 months after discharge | Qualitative study by semi-structured patient interviews |
Countries
France
Outcome results
None listed