TY - JOUR
T1 - Does adding a dietician to the liaison team after discharge of geriatric patients improve nutritional outcome
T2 - a randomised controlled trial
AU - Beck, Anne Marie
AU - Tolstrup Andersen, Ulla
AU - Leedo, Eva
N1 - Publisher Copyright: © SAGE Publications.
PY - 2015/11/1
Y1 - 2015/11/1
N2 - Objectives: The objective was to test whether adding a dietician to a discharge Liaison-Team after discharge of geriatric patients improves nutritional status, muscle strength and patient relevant outcomes. Design: Twelve-week randomized controlled trial. Setting and subjects: Geriatric patients (70 + years and at nutritional risk) at discharge. Interventions: Participants were randomly allocated to receive discharge Liaison-Team vs. discharge Liaison-Team in cooperation with a dietician. The dietician performed a total of three home visits with the aim of developing and implementing an individual nutritional care plan. The first visit took place at the day of discharge together with the discharge Liaison-Team while the remaining visits took place approximately three and eight weeks after discharge and were performed by a dietician alone. Main measures: Nutritional status (weight, and dietary intake), muscle strength (hand grip strength, chair-stand), functional status (mobility, and activities of daily living), quality of life, use of social services, re-/hospitalization and mortality. Results: Seventy-one patients were included (34 in the intervention group), and 63 (89 %) completed the second data collection after 12 weeks (31 in the intervention group). Odds ratios for hospitalization and mortality 6 months after discharge were 0.367 (0.129; 1.042) and 0.323 (0.060; 1.724). Nutritional status improved and some positive tendencies in favour of the intervention group were observed for patient relevant outcomes, i.e. activities of daily living, and quality of life. Almost 100 % of the intervention group received three home visits by a dietician. Conclusion: Adding a dietician to the discharge Liaison-Team after discharge of geriatric patients can improve nutritional status and may reduce the number of times hospitalized within 6 months. A larger study is necessary to see a significant effect on other patient relevant outcomes.
AB - Objectives: The objective was to test whether adding a dietician to a discharge Liaison-Team after discharge of geriatric patients improves nutritional status, muscle strength and patient relevant outcomes. Design: Twelve-week randomized controlled trial. Setting and subjects: Geriatric patients (70 + years and at nutritional risk) at discharge. Interventions: Participants were randomly allocated to receive discharge Liaison-Team vs. discharge Liaison-Team in cooperation with a dietician. The dietician performed a total of three home visits with the aim of developing and implementing an individual nutritional care plan. The first visit took place at the day of discharge together with the discharge Liaison-Team while the remaining visits took place approximately three and eight weeks after discharge and were performed by a dietician alone. Main measures: Nutritional status (weight, and dietary intake), muscle strength (hand grip strength, chair-stand), functional status (mobility, and activities of daily living), quality of life, use of social services, re-/hospitalization and mortality. Results: Seventy-one patients were included (34 in the intervention group), and 63 (89 %) completed the second data collection after 12 weeks (31 in the intervention group). Odds ratios for hospitalization and mortality 6 months after discharge were 0.367 (0.129; 1.042) and 0.323 (0.060; 1.724). Nutritional status improved and some positive tendencies in favour of the intervention group were observed for patient relevant outcomes, i.e. activities of daily living, and quality of life. Almost 100 % of the intervention group received three home visits by a dietician. Conclusion: Adding a dietician to the discharge Liaison-Team after discharge of geriatric patients can improve nutritional status and may reduce the number of times hospitalized within 6 months. A larger study is necessary to see a significant effect on other patient relevant outcomes.
KW - nutrition
KW - diætist
KW - ældre
UR - http://www.scopus.com/inward/record.url?scp=84944673924&partnerID=8YFLogxK
U2 - 10.1177/0269215514564700
DO - 10.1177/0269215514564700
M3 - Journal article
SN - 0269-2155
VL - 29
SP - 1117
EP - 1128
JO - Clinical Rehabilitation
JF - Clinical Rehabilitation
IS - 11
ER -