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Study protocol: follow-up home visits with nutrition: a randomised controlled trial
Anne Marie Beck1, Stine Kjær, Birthe S Hansen
1EFFECT, University Hospital Herlev, Herlev Ringvej, DK-2730 Herlev, Denmark. Anne.Marie.Beck@regionh.dk
BMC Geriatrics
|December 30, 2011
Summary
This study investigates combining dietitian-led nutritional counseling with general practitioner follow-up for geriatric patients at nutritional risk to reduce hospital readmissions. The findings aim to improve patient outcomes and decrease healthcare costs.
Area of Science:
- Geriatric Medicine
- Nutritional Science
- Health Services Research
Background:
- Geriatric patients face high hospital readmission rates, often linked to nutritional risks.
- Previous nutritional interventions have shown limited effectiveness, often neglecting individual dietary needs or co-existing medical conditions.
- General practitioner and district nurse home follow-up has previously reduced readmission risk but lacked nutritional components.
Purpose of the Study:
- To evaluate the combined impact of home-based nutritional counseling by a registered dietitian and general practitioner follow-up.
- To assess the effectiveness of this integrated intervention in reducing hospital readmission rates for geriatric patients.
Main Methods:
- A single-blind, randomized controlled trial involving 160 hospitalized geriatric medical patients (aged 65+) identified as being at nutritional risk.
- Participants were randomized into two groups: one receiving 12 weeks of individualized nutritional counseling by a registered dietitian plus general practitioner follow-up, and the other receiving 12 weeks of general practitioner follow-up alone.
- Interventions were delivered in the patients' homes.
Main Results:
- This section is not detailed in the provided abstract, but the study aims to determine the effectiveness of the combined intervention.
Conclusions:
- This trial pioneers the combination of individual nutritional intervention with general practitioner follow-up to mitigate readmission risks in geriatric patients.
- Results are expected to inform the development of enhanced rehabilitation programs post-hospitalization.
- Potential benefits include reduced healthcare costs and improved patient mobility, independence, and quality of life.
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