Community optimized management for better eating after hospital sTay among geriatric patients of poor socio-economic status - The COMEAT study

Miriam Theilla, Pierre Singer, Boaz Tadmor, Itai Bendavid, Moran Hellerman, Ilya Kagan

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: In patients suffering from disease-related and socioeconomic malnutrition and being discharged from hospital, continuity of care is challenging. Lack of adequate nutrition may lead to increase in morbidity and mortality. The aim of this study was to overcome the handicap of limited nutrition access in this category of patients and to study its consequences on clinical outcome. Methods: Hospitalized patients screened to be at risk of malnutrition were approached and if diagnosed as suffering from malnutrition and from limited financial resources, they were randomized to receive a delivered daily dinner tray for 6 months and an assistance during the meal by a philanthropic association, or to regular food. At entry to the study, patients were assessed by indirect calorimetry, bioimpedance, Hospital Anxiety and Depression Scale (HADS), Functional independence measure (FIM) and SF 36 quality of life questionnaire. The latest questionnaires were reproduced after 3 and 6 months. Survival was followed at 6 months. The student t-test, the paired t-test, ANOVA were used. 180 days survival curves were expressed using the Kaplan-Meier method. Results: 631 patients were screened and 60 patients were randomized. There was no difference between groups. Survival at 6 months was improved significantly in the intervention group (87%) compared to the control group (65%, p<005). HADS did significantly improve at 3 months and other parameters (FIM, SF 36) were not changed significantly.

Original languageEnglish
Pages (from-to)1746-1751
Number of pages6
JournalClinical Nutrition
Volume41
Issue number8
DOIs
StatePublished - Aug 2022

Keywords

  • Continuity of care
  • Malnutrition
  • Oral nutrition
  • Socio-economic

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