Evidence map›Paper›PMID 34782015›Full record

ArticlePilot and feasibility studies2021

Individual nutritional intervention for prevention of readmission among geriatric patients-a randomized controlled pilot trial.

Mai Østerø Cramon, Ines Raben, Anne Marie Beck, Jens Rikardt Andersen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03519139 (Individual Nutritional Intervention for the Prevention of Readmission Among Geriatric Patients - a Randomized Clinical Study), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03519139 nacompletednot on this map

Individual Nutritional Intervention for the Prevention of Readmission Among Geriatric Patients - a Randomized Clinical Study

TypeinterventionalSponsorJens Rikardt AndersenRan2018 to 2018Enrolled40ConditionsReadmissionArmsindividual dietary counselling
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Mai Østerø CramonDepartment of Medicine, Zealand University Hospital, Lykkebækvej 1, 4600, Køge, Denmark. mai.cramon@hotmail.com.ORCID http://orcid.org/0000-0003-0050-4674
Ines RabenDepartment of Medicine, Zealand University Hospital, Lykkebækvej 1, 4600, Køge, Denmark.
Anne Marie BeckInstitute for Nursing and Nutrition, Faculty of Health, University College Copenhagen, Sigurdsgade 26, 2200, Copenhagen, Denmark.
Jens Rikardt AndersenDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Rolighedsvej 26, 1958, Frederiksberg, Denmark.
University of Copenhagen · DKCopenhagen Business School · DKGentofte Hospital · DK

Funding

Copenhagen University, Department of Nutrition, Exercise and Sports JRA-101
6 · The paper itself

Abstract

backgroundApproximately 20% of older people are readmitted to the hospital within 30 days of discharge. Even a short hospital stay decreases the ability to cope with the activities of daily living. The aims of this study were to (1) assess the feasibility of recruitment, (2) assess the acceptability of the intervention, and (3) investigate if an individual nutritional intervention could reduce the readmission rate of geriatric patients within 30 days of being discharged to their own homes.

methodsThe unblinded, randomized, controlled pilot trial includes geriatric patients discharged to their own homes. Forty patients were recruited from a medical ward and randomized to standard treatment (n = 19) or individualized nutritional intervention (n = 21). The intervention was dietary counseling and a nutrition plan before discharge, combined with two home visits performed by an educated nutritionist over a period of 4 weeks. Outcomes were readmission (primary), mortality, protein and energy intake, body weight, activity of daily living, handgrip strength, number of chair stands, and quality of life. Intention-to-treat analysis, per-protocol analysis, and post hoc analysis of readmissions were carried out.

resultsRecruitment was feasible, and there was high compliance to the intervention. There was no difference in readmission between the intervention group and control group 30 days after discharge (29% vs 11%). The individual nutritional intervention had a positive impact on achieving 75% of energy requirements at 30 days for the intervention group compared to the control group (93% vs 47%, p = 0.01). No other differences were found between the groups.

conclusionThe individual nutritional intervention did not prevent readmission among geriatric patients in this trial. Recruitment procedures functioned well, and the intervention was well accepted by the patients.

trial registrationClinicalTrial.gov, NCT03519139 . Retrospectively registered on 8 May 2018.

Indexed as

Home visits after dischargeNutritional CounselingReadmission

Identifiers

PMID34782015
PMCPMC8591855
OpenAlexW3208835661

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.