Personalized Dietary Advice After Discharge From Hospital in Geriatrics: Factors Associated With Improved Nutritional Status and Autonomy (DIETADOM)

  • STATUS
    Recruiting
  • days left to enroll
    21
  • participants needed
    338
  • sponsor
    Gérond'if
Updated on 1 May 2022

Summary

The purpose of this study is to identify the factors associated with the effectiveness of home dietary management in these elderly people returning home (personal home or independent residence) after hospitalization in acute geriatrics.

Description

Patient recruitment will be carried out in the 6 participating hospital centres.

All patients willing to participate, will benefit from an Inclusion Visit (J0): Conducted in hospital in acute geriatric services before discharge from hospital. Verification of inclusion criteria, collection of patient consent by investigator, assignment of patient identification number, declaration of inclusion, and collection by investigator of inclusion data (age, sex, weight, height, appetite, dietary intake scale, risk factors for undernutrition by HAS, albumin, CRP, exit treatment, ADL, IADL and GIR, technical aids for walking, presence of professional and non-professional home workers).

Home visit J7 (30 min to 1 hour): initial dietary assessment, will be carried out between 24 hours and 7 days after discharge from hospital. During this visit, the dietician will perform several measurements (MNA-SF, weight, height, appetite assessment, ingest/24h Consumption of NOCs if prescribed in hospital, Quality of Life, ADL, IADL, acceptance of visit, follow-up of dietary advice and intercurrent medical events).

Home visit J30, J60 (30 min to 1h): Made by the dietician, during these visits will be carried out various measurements and questionnaires: Appetite assessment, weight, ingesta/24h, consumption of NOCs, acceptance of the visit, follow up on dietary advice, compendiums of intercurrent medical events.

Home visit J90 = Final visit. This visit is identical to the initial assessment (J7). Patients who are undernourished or at risk of undernutrition will receive an additional J15 home visit (15 days after discharge from hospital). This visit will be identical to visits J30, J60.

Details
Condition Undernutrition of Elderly Peopole
Treatment Personalized dietary management at home
Clinical Study IdentifierNCT04016532
SponsorGérond'if
Last Modified on1 May 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Unscheduled hospitalization of at least 4 days in acute geriatrics
Direct return to home or independent residence after hospitalization
To be domiciled in the Hauts-de-Seine department
Good understanding of the French language
Beneficiary of a social security scheme
Having read the briefing note and having consented to participate in the study by signing a written consent

Exclusion Criteria

Severe cognitive impairment according to DMS-IV criteria
Inflammatory syndrome (CRP > 30 mg/l)
Evolving cancer
Chronic respiratory failure
Stage IV heart failure
long-term corticosteroids (> 10 mg/d prednisolone or equivalent)
Enteral and parenteral nutrition at home
Chronic end-stage pathology
Inability to walk without human help
Major person subject to a legal protection measure (guardianship, guardianship and safeguarding of justice)
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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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