Randomized Controlled Trial to the effectiveness of Oral Nutrition Supplementation during Medical Rounds in the Hospital.

Randomised Controlled Trial to the effectiveness of Oral Nutrition Supplementation (ONS) during Medical Rounds in the Hospital. The aim of this study is to compare the effect of ONS during medical rounds on nutrient intake in patients who suffer severe disease related malnutrition and evaluate the effect of low doses/high frequency on this nutrient intake. Therefore 300 patients from six hospital wards (internal and surgical) will be allocated at random in one of three treatment groups: 1. ONS in between meals twice a day a whole bottle of 125 ml at 10.00 and 15.00, or 2. ONS during medical rounds twice a day a whole bottle of 125 ml at 12.00 and 17.00 or 3. ONS during medical rounds four times a day half a dosis of 62 ml at 8.00-12.00-17.00-20.00 hour). Follow-up is use of ONS during hospital stay or as long as ONS is indicated (max. 30 days). Primary endpoint is percentage patients who receive their treatment goal (e.g. 75% intake). Secondary endpoint is intake of ONS in ml.

ONS during medical rounds improves the intake in malnourished patients.

Moments of consumption. Patients have 1 hour to finish their ONS.

1. ONS in between meals twice a day a whole bottle of 125 ml at 10.00 and 15.00;

2. ONS during medical rounds twice a day a whole bottle of 125 ml at 12.00 and 17.00;

3. ONS during medical rounds four times a day half a dosis (e.g. 62 ml) at 8.00-12.00-17.00- 20.00.



All three groups use ONS during hospital stay or as long as ONS is indicated (max. 30 days).



Intake in ml will be assessed to evaluate proportion of patients who received their treament goal (e.g. 75% intake of prescription).