Sixteen Years Trends in Reported Undernutrition in Switzerland

To assess 16-year trends in undernutrition reporting and management in Switzerland

Study Overview

• Status: Completed
• Conditions: Malnutrition; Epidemiology
• Intervention / Treatment: Other: No intervention

Detailed Description

Analysis of data from the Swiss hospital discharge databases between 1998 and 2014. The database was provided by the Swiss federal office of statistics (http://www.bfs.admin.ch); it covers 98% of public and private hospitals within Switzerland and includes all stays for each hospital.

• Study Type: Observational
• Enrollment (Actual): 13297188

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Hospitalizations representing 98% of public and private hospitals within Switzerland

Description

Inclusion Criteria:

• adult patients (aged ≥20 years), length of hospital stay >1 day, not having any ICD-10 codes related to pregnancy, childbirth and puerperium (i.e. ICD-10 codes beginning with letter "O") as main diagnosis, and having complete demographic data and information on main diagnosis and mortality

Exclusion Criteria:

-

Study Plan

How is the study designed?

Design Details

• Observational Models: Ecologic or Community
• Time Perspectives: Retrospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
undernutrition reporting	ICD-10 codes E12 (undernutrition-related diabetes mellitus), E40 (kwashiorkor), E41 (nutritional marasmus), E42 (marasmic kwashiorkor), E43 (unspecified severe protein-energy undernutrition), E44 (protein-energy undernutrition of moderate and mild degree), E46 (unspecified protein-energy undernutrition), R63 (R63.0: Anorexia, R63.3: feeding difficulties and mismanagement; R63.4: abnormal weight loss and R63.6: Insufficient intake of food and water due to self-neglect), and R64 (cachexia).	1998-2014

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
nutritional management	CHOP codes related to enteral nutrition (96.6 and 96.35), parenteral nutrition (99.15), nutritional advice and therapy (89.0A.30, 89.0A.31 or 89.0A.32, depending on year) and multimodal nutritional therapy (89.0A.4*, where *=any number).	1998-2014

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Length of stay	Overall length of hospital stay, in days	1998-2014
In-hospital mortality	Hospital mortality (code=deceased)	1998-2014
Nosocomial infection	ICD-10 codes T80.2 (Infections following infusion, transfusion and therapeutic injection); T82.6 (Infection and inflammatory reaction due to cardiac valve prosthesis); T82.7 (Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts); T83.5 (Infection and inflammatory reaction due to prosthetic device, implant and graft in urinary system); T83.6 (Infection and inflammatory reaction due to prosthetic device, implant and graft in genital tract); T84.5 (Infection and inflammatory reaction due to internal joint prosthesis); T84.6 (Infection and inflammatory reaction due to internal fixation device [any site]); T84.7 (Infection and inflammatory reaction due to other internal orthopaedic prosthetic devices, implants and grafts); T85.7 (Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts); A04.7 (Clostridium difficile infection);	1998-2014

Collaborators and Investigators

• Sponsor: Centre Hospitalier Universitaire Vaudois

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2017
• Primary Completion (Actual): July 29, 2017
• Study Completion (Actual): July 29, 2017

Study Registration Dates

• First Submitted: August 1, 2017
• First Submitted That Met QC Criteria: August 1, 2017
• First Posted (Actual): August 3, 2017

Study Record Updates

• Last Update Posted (Actual): August 3, 2017
• Last Update Submitted That Met QC Criteria: August 1, 2017
• Last Verified: August 1, 2017

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Nutrition Disorders; Malnutrition
• Other Study ID Numbers: 1 (Other Identifier: Mobile Health and Wellness Program)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No
• IPD Plan Description: Data request must be sent to the Swiss Federal Office of Statistics (http://www.bfs.admin.ch) and must comply with Swiss data protection rules

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No