Nutritional assessment and therapy
ProcedureNutritional screening, nutritional plan, follow-up and instructions on discharge
NCT Number: NCT03582202
In Denmark the dieticians can be organized centrally and called upon if needed, or locally in larger units, or very locally related to bed-units. The organization form is based on tradition not on measurements of quality. We wanted to compare the very local form with the traditional centralized.
Methods: Randomized, unblinded, parallel design. The intervention group (IT) was nutritionally handled by the dietician, and the control group (C) by the nurses as previously with the possibility for dietetic help from the center.
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Notify Me18 year and older
All sexes
Interventional
Not applicable
All patients were screened by NRS-2002 and had their estimated needs calculated (equations in IT, tables in C). The IT was in addition assessed for adapted weight-loss, counseled with a plan for nutrition and followed-up daily by the dietician if at nutritional risk. All patients were re-screened weekly and had their intake registered. Hand-grib-strength (HGS) was measured in both groups at admittance and discharge, and weight three times weekly.
The primary endpoint was re-admission rate to hospital within 2 months.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Nutritional screening, nutritional plan, follow-up and instructions on discharge
Nutritional handling by nurse
Time frame: 2 months
admission for the same diagnosis
Time frame: 1 week
% of estimated needs
Time frame: 1 week
% of estimated needs
Jens Rikardt Andersen
Other
Organization of the Dietetic Service in a Hospital - on the Ward or Centralized?
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