Hospitalized ( 24 hours) with new 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
You may not be if
Food allergies or intolerances that cannot be accommodated by study diet
On dialysis or estimated glomerular filtration rate \<30 at randomization
Serum potassium (non-hemolyzed) \>6.0 mmol/L during index hospitalization
Heart transplant or active transplant listing
Left ventricular assist device present or anticipated \<6 months
Malignancy or other non-cardiac condition limiting life expectancy to \<12 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 cognitive impairment (SLUMS score \<20, or \<19 if less than high school education completed)
Severe food insecurity (5 or 6 points on the USDA 6-item Food Insecurity Screen)
Body mass index \>50 kg/m2
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
Clareo Health | CSP #2025 - Geriatric OUt-of-hospital Randomized MEal Trial in Heart Failure: Veterans Affairs (GOURMET-VA)
