Randomized clinical trial of nutritional counseling for malnourished hospital patients

Autor: L. Padilla-Romero, María Ángeles Vázquez-Sánchez, Cristina Casals, J.L. Casals-Sánchez, N. García-Agua-Soler, M.V. Requena-Toro
Rok vydání: 2015
Předmět:
Zdroj: Revista Clínica Española (English Edition). 215:308-314
ISSN: 2254-8874
Popis: Introduction Malnutrition is associated with an increased risk of mortality and morbidity, longer hospital stays and general loss of quality of life. The aim of this study is to assess the impact of dietary counseling for malnourished hospital patients. Patients and methods Prospective, randomized, open-label study of 106 hospital patients with malnutrition (54 in the control group and 52 in the intervention group). The intervention group received dietary counseling, and the control group underwent standard treatment. We determined the patients’ nutritional state (body mass index, laboratory parameters, malnutrition universal screening tool), degree of dependence (Barthel index), quality of life (SF-12), degree of satisfaction (CSQ-8), the number and length of readmissions and mortality. Results The patients who underwent the “intervention” increased their weight at 6 months, while the controls lost weight (difference in body mass index, 2.14 kg/m 2 ; p p p = .025), SF-12 (difference, 13.72; p p p = .04) and shorter stays for readmissions (difference, −6.75; p = .035). Mortality and laboratory parameters were similar for the 2 groups. Conclusions Nutritional counseling improved the patients’ nutritional state, quality of life and degree of dependence and decreased the number of hospital readmissions.
Databáze: OpenAIRE