Clinical Nutrition Concept for Hospitalized Patients With Malnutrition (NUTRICORE)
Effect of an Evidence Based Clinical Nutrition Concept on Clinical Outcomes in Hospitalized Patients With Malnutrition When Severity of Disease is Taken Into Consideration
연구 개요
상세 설명
Patients have been consecutively screened at admission by SGA (Subjective-Global-Assessment)-Score and NRS 2002 (Nutritional-Risk-Screening)-Score in the departments of surgery and internal medicine. The nutrition status of each patient is combined with clinical data, utilization data and direct costs on the basis of clinical homogenous patient clusters. Risk-Adjustment was provided by the Disease-Staging-Scale (MEDSTAT/Thomson Healthcare, Ann Arbor MI), which allows patient classification by diagnosis and co morbidities including age and gender. The risk adjustment scales run by routine data sets from german inpatient G-DRG system. In the control period the effects of usual nutrition care are documented. During the intervention period an implementation of an interdisciplinary evidence-based guideline for screening and clinical nutrition was introduced in each participating hospital.
The issue is to describe the relation between risk-adjusted malnutrition status and clinical outcomes and costs.
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
-
-
-
Ansbach, 독일
- Städtisches Klinikum Ansbach
-
Bad Bergzabern, 독일
- Kliniken Südliche Weinstraße Landau
-
Duisburg, 독일
- Evangelische und Johanniter Kliniken
-
Hameln, 독일
- Kreiskrankenhaus Hameln
-
-
참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- at least 18 years of age
- internal or operative admission diagnosis in participating hospitals
Exclusion Criteria:
- Patients with demand for emergency care
- Patients with demand for intensive care
- Patients with hospital day-care
- Patients unwilling to participate or unable to comply with the protocol in the control group
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위화되지 않음
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
실험적: 1
evidence based clinical nutrition concept
|
The evidence based nutrition concept comprise a routine malnutrition screening for hospitalized patients, the implementation of an evidence based guideline for clinical nutrition in the participating hospital, education training of the clinical staff and thereby optimal clinical nutrition for malnourished hospitalized patients.
다른 이름들:
|
|
다른: 2
care as usual
|
Unchanged treatment of hospital patients without interference by the study.
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
|---|---|
|
Length of hospital stay
기간: At least 3 months each group, 6 months for both groups
|
At least 3 months each group, 6 months for both groups
|
2차 결과 측정
결과 측정 |
기간 |
|---|---|
|
all cause hospital mortality
기간: At least 3 months each group, 6 months for both groups
|
At least 3 months each group, 6 months for both groups
|
|
complication rate
기간: At least 3 months each group, 6 months for both groups
|
At least 3 months each group, 6 months for both groups
|
|
hospital readmission rate
기간: 1 Month each group
|
1 Month each group
|
|
Economic devices (direct costs of inpatient care and reimbursement)
기간: At least 4 months each group, 7 months for both groups
|
At least 4 months each group, 7 months for both groups
|
공동 작업자 및 조사자
수사관
- 연구 책임자: Stefan N Willich, Prof. Dr., Charite University, Berlin, Germany
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- NUTRICORE
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .