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
研究概览
详细说明
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.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Ansbach、德国
- Städtisches Klinikum Ansbach
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Bad Bergzabern、德国
- Kliniken Südliche Weinstraße Landau
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Duisburg、德国
- Evangelische und Johanniter Kliniken
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Hameln、德国
- Kreiskrankenhaus Hameln
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：非随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：1
evidence based clinical nutrition concept
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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.
其他名称：
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其他：2
care as usual
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Unchanged treatment of hospital patients without interference by the study.
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研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
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Length of hospital stay
大体时间：At least 3 months each group, 6 months for both groups
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At least 3 months each group, 6 months for both groups
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次要结果测量
结果测量 |
大体时间 |
|---|---|
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all cause hospital mortality
大体时间：At least 3 months each group, 6 months for both groups
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At least 3 months each group, 6 months for both groups
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complication rate
大体时间：At least 3 months each group, 6 months for both groups
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At least 3 months each group, 6 months for both groups
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hospital readmission rate
大体时间：1 Month each group
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1 Month each group
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Economic devices (direct costs of inpatient care and reimbursement)
大体时间：At least 4 months each group, 7 months for both groups
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At least 4 months each group, 7 months for both groups
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合作者和调查者
调查人员
- 研究主任：Stefan N Willich, Prof. Dr.、Charite University, Berlin, Germany
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- NUTRICORE
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