NCT03582202

Organization of the Dietetic Service in a Hospital

Organization of the Dietetic Service in a Hospital - on the Ward or Centralized?

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 33 (actual)
• Sponsor: Jens Rikardt Andersen · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

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.

Detailed description

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.

Conditions

• Nutritional Disease
• Malnutrition

Interventions

Type	Name	Description
PROCEDURE	Nutritional assessment and therapy	Nutritional screening, nutritional plan, follow-up and instructions on discharge
PROCEDURE	Standard care	Nutritional handling by nurse

Timeline

• Start date: 2015-04-18
• Primary completion: 2016-04-25
• Completion: 2017-04-22
• First posted: 2018-07-10
• Last updated: 2018-07-16