Optimisation of Nutrition and Medication for Acutely Admitted Older Medical Patients

Summary

Malnutrition and inappropriate medication prescribing are highly prevalent among acutely admitted older medical patients leading to re-admissions, frailty, poor physical, performance compromised quality of life and mortality. Thus, the aim of this study is to optimise the nutrition and medication in older medical patients admitted to an acute care department at admission and up to 16 weeks after discharge. Participants in the intervention group receives a medication review and participants with malnutrition or risk of malnutrition additionally receive a transitional multimodal intervention. The control group receives standard care.

Conditions

• Aging
• Malnutrition
• Drug Prescribing

Interventions

OTHER

Optimisation of nutrition and medication

1. Inter-professional optimisation of medication prescribing: Study participants in the intervention group receives optimisation of medication prescribing at admission day (baseline) regardless of nutritional state. The intervention is performed in cooperation between a clinical pharmacist and a medical physician. 2. Nutritional intervention: If positive screening for malnutrition or risk of malnutrition a dietetic intervention is initiated and if positive screening below interventions are initiated: * Dysphagia: occupational therapy intervention. * Oral cavity problems: odontological intervention. * Depression: geriatric intervention. * Low ADL: occupational therapy intervention and if positive screening for poor muscle strength: physiotherapeutic intervention.

Sponsors & Collaborators

• Clinical Research Centre

  collaborator UNKNOWN

• Region Hovedstadens Apotek

  collaborator OTHER_GOV

• Udviklings- og forskningspuljen, Danske Regioner og Sundhedskartellet

  collaborator UNKNOWN

• Region Capital Denmark

  collaborator OTHER

• Regionernes Lægemiddelorganisation

  collaborator UNKNOWN

• Hvidovre University Hospital

  lead OTHER

Principal Investigators

• Ove Andersen, MD, PhD · Hvidovre University Hospital

• Aino L. Andersen, MSc · Hvidovre University Hospital

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2018-10-15

Primary Completion

2022-07-15

Completion

2022-07-15

Countries

• Denmark

Study Locations