RecruitingACTRN12624000205538

Post-discharge nutrition care post hip fracture: a feasibility study

Post-discharge nutrition care in older adults with or at risk of malnutrition and frailty post hip fracture: a pre-post feasibility study


Sponsor

Griffith University

Enrollment

140 participants

Start Date

Mar 18, 2024

Study Type

Interventional

Conditions

Summary

Malnutrition is common among hip fracture patients and results in adverse outcomes. The primary aim of this study is to assess the feasibility of intervention delivery and evaluation design in preparation for a larger trial to determine whether providing high energy, high protein meals to older patients following hospitalisation for hip fracture improves patient reported measures and health related outcomes. Primary outcomes relate to feasibility of the intervention and evaluation design. Secondary outcomes include quality of life, patient-reported experience measures, nutritional, functional and health outcomes, and likelihood of cost-effectiveness. This study has potential to improve quality of life and other health outcomes post hospitalisation for hip fracture. If the intervention is shown to be feasible to deliver and evaluate, further research will assess clinical and cost effectiveness.


Eligibility

Sex: Both males and femalesMin Age: 65 Yearss

Plain Language Summary

Simplified for easier understanding

Hip fractures in older adults are serious injuries that often lead to prolonged hospitalisation, loss of independence, and difficulty returning to a normal diet. Malnutrition is very common in this group, which can slow healing and increase the risk of complications. This study explores whether providing high-energy, high-protein home-delivered meals after discharge from hospital helps people recover better. Participants aged 65 and over who have undergone hip fracture surgery and are going home will be randomly assigned to receive specially prepared meals delivered weekly or to continue with their usual eating arrangements. The study will assess quality of life, nutritional status, functional recovery, and cost-effectiveness over the period following discharge. You may be eligible if you are 65 or older, have had hip fracture surgery, are being discharged home and will be involved in your own meal preparation, and are assessed as malnourished or at risk of malnutrition at the time of discharge. People with terminal illness, severe food allergies, no microwave, or who live more than 50 km from the hospital are not eligible.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

Once recruited, patients will be enrolled in the study and given an identification (ID) number. They will be sequentially recruited into the control group (pre-implementation phase) and intervention g

Once recruited, patients will be enrolled in the study and given an identification (ID) number. They will be sequentially recruited into the control group (pre-implementation phase) and intervention groups (implementation phase). The first 70 patients will be recruited into the control group and the following 70 will be recruited into the intervention group). Intervention: Patients in the intervention (implementation phase) group will receive usual care which includes: - Timely surgery - Orthogeriatric co-care - Multidisciplinary, multimodal inpatient nutrition care, including: o Nutrition assessment o High protein/energy diet choices o High protein/energy dietary advice o High protein/energy oral nutrition supplements o Medical management of nutrition impacting symptoms o Mealtime assistance and support o Coordination of care including consideration of post-discharge oral nutrition supplements and/or Meals on Wheels, referral to primary care provider including discharge summary with nutrition status / nutrition care plan documented. Plus in-kind provision of home delivery of Lite-n-Easy full meal package (3 meals/day for 8 weeks) post hospital discharge, per standard processes defined by Lite-n-Easy: - Provision of patient-selected breakfast, lunch and dinner meals from the ‘My Choice’ protein- and energy-dense range (details found at https://www.liteneasy.com.au/my-choice) - Weekly contact from the Lite-n-Easy call centre regarding meal plan choices for the following week and/or any issues regarding products or delivery; and - To- or in-house delivery as per the individual’s preference. Participants are permitted to consume meals outside of the provisions from Lite-n-Easy. Food intake will not be supervised, however food intake will be collected at 4-weeks and 8-weeks post discharge, using a 24hr recall methodology. No other strategies will be used to monitor intake or adherence to meals.


Locations(1)

The Prince Charles Hospital - Chermside

QLD, Australia

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