Effect of Continued Nutritional Support at Hospital Discharge on Mortality, Frailty, Functional Outcomes and Recovery
Effect of Continued Nutritional Support at Hospital Discharge on Mortality, Frailty, Functional Outcomes and Recovery Trial: The EFFORT II Project
Philipp Schuetz
1,200 participants
Aug 5, 2021
INTERVENTIONAL
Conditions
Summary
This study is to compare the sustained post-discharge nutritional support to reach individual energy and protein goals to usual care home nutrition in medical patients at nutritional risk.
Eligibility
Inclusion Criteria3
- Informed Consent as documented by signature
- Adult (age ≥18 years), medical patients
- Nutritional risk screening using the Nutritional Risk Screening (NRS): total score ≥3 points consisting of ≥1 points for impairment of the nutritional status \[weight loss >5% in 3 month or food intake of 50-75% in the last week before hospital admission\] plus ≥1 for the severity of the disease (i.e., cancer, chronic kidney disease, chronic heart failure, COPD) and other chronic diseases according to the definition of the "National Center for Chronic Disease Prevention and Health Promotion": Chronic diseases are defined broadly as conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both .
Exclusion Criteria8
- after surgery
- unable to ingest oral nutrition
- need for long-term nutrition,
- terminal condition
- acute pancreatitis or acute liver failure
- patients discharged to a nursing home
- patients unlikely to comply with nutritional support treatment (e.g., dementia)
- COVID-Hospitalisation requiring intensive care
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Interventions
daily use of one or more specific oral nutritional supplement with high energy/protein content (i.e., Resource Ultra, Resource 2.0 (Fibre), Resource Ultra Fruit).
nutritional plan supervised by an experienced study dietician based on the usual home nutrition with possibility to increase intake by adaptation to patient preferences, between meal snaking and food enrichment/fortification. Every 2-4 weeks phone call by unblinded study dietician to follow nutritional intervention.
general information about health food behavior upon hospital discharge
Locations(18)
View Full Details on ClinicalTrials.gov
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NCT04926597