CSP #2025 - Geriatric OUt-of-hospital Randomized MEal Trial in Heart Failure: Veterans Affairs (GOURMET-VA)

Más betegség

• Food allergies or intolerances that cannot be accommodated by study diet
• Heart transplant or active transplant listing
• Malignancy or other non-cardiac condition limiting life expectancy to <12 months
• Severe cognitive impairment (SLUMS score <20, or <19 if less than high school education completed)
• Other medical, psychiatric, behavioral, or logistical condition which, in the clinical judgement of the site investigator, makes it unlikely the patient can effectively participate in or complete the study

Laborértékek

• Serum potassium (non-hemolyzed) >6.0 mmol/L during index hospitalization

Egyéb

• On dialysis or estimated glomerular filtration rate <30 at randomization
• Left ventricular assist device present or anticipated <6 months
• Planned admission to a skilled nursing facility following hospital discharge, or discharge to other location/situation where Veteran does not have control over diet
• Lack of space to store food for a week or equipment to prepare food
• Severe food insecurity (5 or 6 points on the USDA 6-item Food Insecurity Screen)
• Body mass index >50 kilograms per meter squared (kg/m2)

• Veterans enrolled in a VHA facility
• Hospitalized (24 hours) with new heart failure (HF) or worsening chronic HF
• Dentition, swallowing function, etc. sufficient to safely consume food and liquid of standard composition and texture (i.e., no pureed food, no thickened liquids needed)
• Able and willing to provide informed consent and perform study activities