Continued nutritional support after hospital discharge for malnourished patients

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to evaluate the effects of ongoing nutritional support on malnourished medical patients after they are discharged from the hospital. It compares the outcomes of patients receiving individualized nutritional supplements to those receiving standard home nutrition. The research focuses on how sustained nutritional intervention can impact mortality, frailty, and functional recovery in this vulnerable population. By analyzing the long-term benefits of nutritional support, the study seeks to address gaps in current post-discharge care for patients at nutritional risk.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Informed Consent as documented by signature
* Adult (age ≥18 years), medical patients
* Nutritional risk screening using the Nutritional Risk Screening (NRS): total score ≥3 points consisting of ≥1 points for impairment of the nutritional status \[weight loss \>5% in 3 month or food intake of 50-75% in the last week before hospital admission\] plus ≥1 for the severity of the disease (i.e., cancer, chronic kidney disease, chronic heart failure, COPD) and other chronic diseases according to the definition of the "National Center for Chronic Disease Prevention and Health Promotion": Chronic diseases are defined broadly as conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both .

Exclusion Criteria:

* after surgery
* unable to ingest oral nutrition
* need for long-term nutrition,
* terminal condition
* acute pancreatitis or acute liver failure
* patients discharged to a nursing home
* patients unlikely to comply with nutritional support treatment (e.g., dementia)
* COVID-Hospitalisation requiring intensive care

Where it's running

• Hospital Universitari Vall Hebron de Barcelona
  Barcelona, Spain Recruiting
• Hospital Universitario de Getafe
  Getafe, Spain Recruiting
• Complejo AComplejo Asistencial Universitario de León
  León, Spain Recruiting
• Hospital U. Gregorio Marañón de Madrid
  Madrid, Spain Recruiting
• Hospital Universitario Regional de Málaga
  Málaga, Spain Recruiting
• Hospital Clínico Universitario de Valladolid
  Valladolid, Spain Recruiting

Study contacts

• Principal investigator: Philipp Schuetz, Prof. Dr. med. — Kantonsspital Aarau, University Department of Internal Medicine
• Study coordinator: Philipp Schuetz, Prof. Dr. med.
• Email: Philipp.Schuetz@unibas.ch
• Phone: +41 (0) 62 838 9524

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.