The prevalence of disease-related malnutrition among hospitalized patients is 30-50%. There is a lack of tools to follow up the nutritional treatment of these patients. The investigators develop the decision support system "MyFood" which can be used to assess patients' dietary intake, evaluate intake against individual needs, and propose nutrition related measures and an individual nutrition plan for each patient. The investigators will study the clinical effects of using MyFood among hospitalized patients. In addition the implementation of the tool among healthcare workers will be studied.
The prevalence of disease-related malnutrition among hospitalized patients is 30-50%. Disease-related malnutrition increase the morbidity and mortality among patients and leads to longer length of stay. There is a lack of tools to follow up the nutritional treatment of patients at nutritional risk. The decision support system "MyFood" is developed in the project with the purpose to prevent and treat disease-related malnutrition. MyFood includes 4 modules: 1) A function to register patient needs and symptoms, 2) Dietary assessment function, 3) Automatic evaluation of dietary intake compared to individual needs, 4) Feedback, including a report on intake of energy, protein, and liquids compared to individual needs, and recommendations for nutritional measures and an individual nutrition plan. Clinical effects of using MyFood among hospitalized patients will be studied in a randomized controlled trial. In addition, the implementation of the tool among nurses and other healthcare workers will be explored.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
100
Patients included in the intervention group will use the MyFood app to record their dietary intake. Nurses will use the report and recommendations in the MyFood tool to follow up the nutritional treatment of the patients.
Oslo university hospital, Rikshospitalet
Oslo, Norway
Change in body weight (kg) during hospital stay
Measured standing on an electronic scale
Time frame: 2 times each week, from patient admission (day 1) to hospital discharge (on average day 11)
Patient length of hospital stay
Length of hospital stay (LOS) will be measured for all participating patients. Average LOS in the intervention group will be compared with the average LOS in the control group
Time frame: At the day of patient discharge (on day 11)
Change in body Composition
Fat free mass, muscle mass, fat mass, and phase angle. Measured by bioelectrical impedance analysis.
Time frame: 2 times each week, from patient admission (day 1) to hospital discharge (on average day 11)
Proportion of patients who receives a nutrition diagnose
Number of patients who receives a nutrition diagnose (E46.00) will be measured among patients participating in the study. Proportion of patients who receives a nutrition diagnose in the intervention group will be compared with the proportion of patients who receives a nutrition diagnose in the control group.
Time frame: Assessed from medical journals every second day during each patient's hospital stay (11 days on average)
Proportion of patients who get implemented nutrition-related measures
The decision support system gives recommendations for nutritional-related measures, based on individual symptoms and dietary intake compared to needs.
Time frame: Assessed from medical journals every second day during each patient's hospital stay (11 days on average)
Proportion of patients who receive a nutrition plan
According to the national guidelines all patients at nutritional risk should have an individual nutrition plan. The decision support system will generate a suggested nutrition plan, based on information recorded in the system. Proportion of patients in the intervention group who receives a nutrition plan, compared to proportion in the control group will be measured
Time frame: Assessed from the participating patients' medical journals on day 2 and every second day during hospital stay (11 days on average)
Re-admissions
Unplanned re-admissions
Time frame: 30 days after discharge
Patient generated subjective global assessment (PG-SGA) score
The patient generated subjective global assessment (PG-SGA) is a form including questions on weight development, food intake, symptoms, and activity level and function
Time frame: Measured on day 1 and at admission (day 11 on average)
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