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OpenTrials
Completed

NCT Number: NCT03278678

Nutritional Screening in Older Individuals

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.

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Key information

Conditions

Malnourished Malnutrition Nutrition Disorders Nutritional and Metabolic Diseases

Age range

65 year–105 year

Sex eligibility

All sexes

Study type

Observational

About this study

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

Who can participate

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Primary outcomes

  1. prevalence of malnutrition

    Time frame: 2 months

    prevalence of malnutrition by using MNA-SF

Secondary outcomes

  1. sexBMI

    Time frame: 2 months

    male or female, average age, BMI

  2. age

    Time frame: 2 months

    average age in years

  3. BMI

    Time frame: 2 months

    body mass index in Kg / m^2

Other outcomes

  1. Risk factors of malnutrition

    Time frame: 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

Sponsors and collaborators

Lead sponsor

Sanjuan, Silvia Forcano, M.D.

Indiv

Collaborators

  • Ministerio de Sanidad, Servicios Sociales e Igualdad

Registry information

Official study title

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

Important dates

Study start
2016
Primary completion
2016
Study completion
2016
First posted
Sep 12, 2017
Registry last updated
Sep 13, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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