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| Name | Class |
|---|---|
| Hospital Universitario San Ignacio, Aging Institute, Pontificia Universidad Javeriana | UNKNOWN |
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This study aims to assess the malnutrition prevalence of Colombian community-dwelling adults and evaluate the feasibility of a nutrition-focused QIP implemented in a Colombian ambulatory care facility on healthcare utilization.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Historical Control Group | Retrospective chart review | ||
| Prospective QIP Group | Participants that meet eligibility criteria will be prospectively enrolled into QIP including malnutrition screening, nutrition consultation, expedited provision of oral nutritional supplementation (ONS) and encouragement of ONS consumption. |
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| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of Malnutrition | Measured by the Mini Nutritional Assessment (MNA®) a maximum 30 point scale resulting in a single Malnutrition Indicator Score where lower number indicates malnutrition | Change from Baseline to Week 10 post-QIP enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Healthcare Resource Utilization | Chart Review | 10-weeks follow-up period post enrollment from ambulatory care facility |
| Measure | Description | Time Frame |
|---|---|---|
| Body mass index (BMI) | BMI calculated Weight (kg)/Height (m)2 | Baseline and Week 10 post-QIP enrollment |
| Calf Circumference (CC) | Measurement at largest circumference of calf |
Inclusion Criteria:
Exclusion Criteria:
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Sites will recruit patients for QIP group at discharge from hospital (after 3 months) or in ambulatory care facility.
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| Name | Affiliation | Role |
|---|---|---|
| Suela Sulo, PhD, MSc | Abbott Nutrition | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Geriatric Unit. Hospital Universitario San Ignacio, Aging Institute, Pontificia Universidad Javeriana | Bogotá | Colombia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35667271 | Derived | Gomez G, Botero-Rodriguez F, Misas JD, Garcia-Cifuentes E, Sulo S, Brunton C, Venegas-Sanabria LC, Gracia DA, Cano Gutierrez CA. A nutritionally focused program for community-living older adults resulted in improved health and well-being. Clin Nutr. 2022 Jul;41(7):1549-1556. doi: 10.1016/j.clnu.2022.05.003. Epub 2022 May 13. | |
| 35331504 |
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| ID | Term |
|---|---|
| D044342 | Malnutrition |
| ID | Term |
|---|---|
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| Baseline and Week 10 post-QIP enrollment |
| Short Physical Performance Battery (SPPB) | Timed assessments of balance, gait speed and chair standing; Scaled in the negative direction | Baseline and Week 10 post-QIP enrollment |
| Hand Grip | Participant assessed with hand dynamometers | Baseline and Week 10 post-QIP enrollment |
| Quality of Life EuroQOL EQ-5D | Subject rated health state of 5 dimensions. Each dimension has 5-levels scaled in negative direction resulting in an overall 5-digit number describing the health state; EQ VAS Score 0-100 points scaled in positive direction | Baseline and Week 10 post-QIP |
| Nutritional Supplement Consumption | Participant reported | Baseline and Week 10 post-QIP |
| Chavarro-Carvajal DA, Ayala AM, Venegas-Sanabria LC, Gomez G, Sulo S, Misas JD, Cano-Gutierrez C. Use of a nutrition-focused quality improvement program for community-living older adults at malnutrition risk is associated with better nutritional outcomes. Clin Nutr ESPEN. 2022 Apr;48:291-297. doi: 10.1016/j.clnesp.2022.01.032. Epub 2022 Feb 2. |