Valutazione All'Ingresso Del Rischio Nutrizionale in Pazienti Ricoverati Nel Reparto di Medicina Interna (AMIDO) (AMIDO)

Valutazione in Ingresso Del Rischio Nutrizionale Del Paziente in SC Medicina Interna Del P.O. di Acqui Terme in Regime di Ricovero: Presa in Carico Nutrizionale Per Ottimizzare l'Outcome di Patologia Acuta e Monitoraggio Nel Post-ricovero

The aim of this study is to identify the risk of malnutrition in patients admitted to the Internal Medicine departments using the MUST screening tool. Additional aspects are to evaluate malnourished patients' characteristics and effectiveness of an early nutritional programme started during hospitalization.

Study Overview

• Status: Completed
• Conditions: Malnutrition; Hospitalized Patient
• Intervention / Treatment: Other: Nutritional intervention

Detailed Description

Malnutrition is defined as a nutritional state characterized by an excess or deficient intake of nutrients. This condition may result in a change in body composition and in organic disfunctions. Malnutrition in hospitalized patients is a condition prevalent worldwide affecting between 20% and 50% of patients at admission, with further increase expected during hospitalization. Patients hospitalized in internal medicine departments are frequently older with multimorbidity and polypharmacy, so very likely to be malnourished, but the prevalence and determinants of malnutrition remain unclear.

In AMIDO study, all patients with MUST 1 and 2 will be sent to the a dietitian. The clinician will act on the patient's characteristics by providing different dietary therapies, such as oral nutritional supports (ONS), extra nutritional cares, diet changes without supplements and artificial nutrition.

• Study Type: Interventional
• Enrollment (Actual): 268
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Italy
  • Piedmont
    • Alessandria, Piedmont, Italy, 15121
      • Azienda Sanitaria Locale di Alessandria (ASL AL)

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Patients admitted from 1st January 2023 to 31th May 2023 at the Internal Medicine Department of the Monsignor Giovanni Galliano Hospital in Acqui Terme of the Alessandria ASL.

Exclusion Criteria:

• none

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Nutritional Intervention; All patients with MUST 1 and 2 will be sent to the dietitian. The clinician will act on the patient's characteristics by providing different dietary therapies, such as oral nutritional supports (ONS), extra nutritional cares, diet changes without supplements and artificial nutrition.	Other: Nutritional intervention; Diet changes with different dietary therapies, such as oral nutritional supports (ONS), extra nutritional cares, diet changes without supplements and artificial nutrition.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Risk of malnutrition	Assessment of patients' risk of malnutrition on admission through the MUST questionnaire.	Before the intervention (Baseline/T0) and at the hospital discharge, an average of 8 days after (Final/T1)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Clinical conditions and malnutrition	Correlation between clinical outcomes of enrolled patients and level of malnutrition on admission, measured by MUST questionnaire	Before the intervention (Baseline/T0) and at the hospital discharge, an average of 8 days after (Final/T1)
Gender and malnutrition	Correlation between gender of enrolled patients and nutritional status at the time of admission, measured by MUST questionnaire	Before the intervention (Baseline/T0) and at the hospital discharge, an average of 8 days after (Final/T1)

Collaborators and Investigators

• Sponsor: Azienda Sanitaria Locale di Alessandria
• Investigators: Principal Investigator: Paola Gnerre, MD, Azienda Sanitaria Locale di Alessandria (ASL AL)

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2023
• Primary Completion (Actual): May 31, 2023
• Study Completion (Actual): December 31, 2023

Study Registration Dates

• First Submitted: June 25, 2024
• First Submitted That Met QC Criteria: July 10, 2024
• First Posted (Actual): July 11, 2024

Study Record Updates

• Last Update Posted (Actual): July 11, 2024
• Last Update Submitted That Met QC Criteria: July 10, 2024
• Last Verified: June 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Nutrition Disorders; Malnutrition
• Other Study ID Numbers: Asl22.MedI.22.02

Drug and device information, study documents

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