Does intensive feeding improve nutritional status and outcome in acutely ill older in-patients?
| ISRCTN | ISRCTN43554088 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN43554088 |
| Protocol serial number | RDC00891 |
| Sponsor | NHS R&D Regional Programme Register - Department of Health (UK) |
| Funder | NHS Executive London (UK) |
- Submission date
- 23/01/2004
- Registration date
- 23/01/2004
- Last edited
- 12/01/2010
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr Gary Frost
Scientific
Scientific
Hammersmith Hospital NHS Trust
Department of Nutrition and Dietetics
Hammersmith Hospitals NHS Trust
Ducane Road
London
W12 0HS
United Kingdom
| Phone | +44 (0)20 8383 3948 |
|---|---|
| Gfrost@hhnt.org |
Study information
| Primary study design | Interventional |
|---|---|
| Study design | Randomised controlled trial |
| Secondary study design | Randomised controlled trial |
| Scientific title | |
| Study objectives | Malnutrition has been estimated to cost the NHS £220 million a year because malnourished patients have longer hospital stays and increased morbidity. Malnutrition is particularly common in the elderly. Most intervention studies in this group have used liquid supplements but the results have been disappointing; even under surveillance, ill older patients often do not take enough supplement to improve their nutritional status. In routine clinical practice the situation is even worse because poor nutrition is often not recognised and compliance with supplements is even lower. Another approach is needed. This study examines whether health care assistants trained to provide support with all aspects of feeding can make a significant impact on nutritional intake and whether this improves outcome. The study is designed to determine: Does feeding support increase nutritional intake, lead to measurable changes in nutritional status (body mass index, arm circumference, serum albumin) and lead to improved outcome (infection rate, Barthel score, length of stay, readmission rate)? |
| Ethics approval(s) | Not provided at time of registration |
| Health condition(s) or problem(s) studied | Acute illness |
| Intervention | 1. Feeding support from health care assistants trained to provide support with all aspects of feeding 2. Standard care |
| Intervention type | Other |
| Primary outcome measure(s) |
The study is designed to see whether feeding support improves the nutritional status of patients to an extent it will have a positive day to day effect on function, the time patients require to become medically fit for discharge and length of stay. |
| Key secondary outcome measure(s) |
Not provided at time of registration |
| Completion date | 01/06/2000 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Senior |
| Sex | All |
| Target sample size at registration | 1500 |
| Key inclusion criteria | All patients over 65 admitted acutely to Medicine for the Elderly wards. Sample is estimate to be 750 people in each group. |
| Key exclusion criteria | 1. Patients unable to take food orally (e.g. unconscious, severe dysphagia) 2. Not expected to survive the current admission 3. Patients with a body mass index (BMI) greater or equal to 25 |
| Date of first enrolment | 01/12/1997 |
| Date of final enrolment | 01/06/2000 |
Locations
Countries of recruitment
- United Kingdom
- England
Study participating centre
Hammersmith Hospital NHS Trust
London
W12 0HS
United Kingdom
W12 0HS
United Kingdom
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|---|
| IPD sharing plan summary | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 01/02/2004 | Yes | No |
