An Email Intervention to Prevent Iatrogenic Malnutrition in the ICU
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Malnutrition
- Sponsor
- Massachusetts General Hospital
- Enrollment
- 197
- Primary Endpoint
- Patients started on nutrition within 72 h of ICU admission
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
This is a quality improvement research project evaluating if a targeted feedback email to clinicians impacts their nutrition delivery in the ICU.
Detailed Description
This prospective study looks to determine if a targeted email to clinicians taking care of critically ill patients will allow reduce malnutrition in the Intensive Care Units (ICU). Four ICUs will be included: medical ICU (MICU), coronary care unit (CCU) and two surgical ICUs. The investigators will rotate a 2 month period intervention amongst the aforementioned participating ICUs and follow simultaneous cohorts to evaluate the effect of our intervention (email feedback to treating clinicians) on nutrition delivery in the ICU. After the completion of the intervention, there will be a six-month follow-up of nutritional adequacy to assess the durability of changes in behavior.
Investigators
Daniel Dante Yeh
Trauma and Critical Care Surgeon
Massachusetts General Hospital
Eligibility Criteria
Inclusion Criteria
- •Clinicians taking care of patients admitted to the ICU within the past 48hrs
- •Clinicians taking care of patients in whom enteral nutrition is prescribed
Exclusion Criteria
- •Clinicians taking care of patients in whom enteral nutrition is not prescribed.
Outcomes
Primary Outcomes
Patients started on nutrition within 72 h of ICU admission
Time Frame: After completing the intervention for each ICU (2 months)
The ICU admission date and EN initiation date will be collected in a data base which will later be analyzed to assess the percentange of patients initiated on EN within 72 hours of admission to the ICU. This will be reported as rates and will be compared amongst intervention and no-intervention arms using Fisher's Exact test or Chi-sq Test