Nutritional Screening in Patients With Cardiovascular Disease
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 250
- Locations
- 1
- Primary Endpoint
- Time in ICU
Study Overview
Brief Summary
This is a nutritional screening and assessment study conducted prior to heart surgery. The nutritional status of patients will be assessed by a series of questionnaires, blood/urine biomarkers and measurement of grip strength and body composition. The investigators will then evaluate of any of the assessments are linked with clinical outcomes following surgery. For example, how long do patients stop in the intensive care unit (ICU), in hospital and how many complications patients experience.
The investigators hope to use this important clinical data to understand how medical staff can identify a poor nutritional status and which patients may need nutritional support prior to surgery.
Detailed Description
This is a cross sectional nutritional screening and assessment study conducted prior to cardiac surgery . The investigators will focus on comparing aspects of nutritional status with robust and validated clinical outcomes (mechanical ventilation, ICU time, hospital stay and Society of Cardiothoracic Surgery (SCTS) complications). The investigators will utilise various nutritional screening questionnaires and assessments, including routine clinical malnutrition tools (i.e. MUST, NRS), plus more nutritional quality assessments such as the NOVA ultra-processed food intake, mediterranean diet and blood biomarker panels such as the Prognostic Nutritional Index (PNI), Controlling Nutritional Status (CONUT).
The investigators will also undertake a functional grip strength test and measure body composition including fat mass (FM) & fat-free mass (FFM), segmental analysis, sarcopenic obesity and visceral fat. The study will also conduct questionnaires regarding other lifestyle related factors (sleep, recent physical activity, stress, anxiety, depression) which might also influence surgical outcomes.
Study Design
- Study Type
- Observational
- Observational Model
- Case Only
- Time Perspective
- Cross Sectional
Eligibility Criteria
- Ages
- 40 Years to 85 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •No pre-specified inclusion criteria to ensure we recruit a representative group of patients.
Exclusion Criteria
- •All patients without proficiency in English that allows completion of questionnaires
- •Unable to provide written consent
Arms & Interventions
Surgical- Group 1
Intervention: Nutritional Screening (Behavioral)
Outcomes
Primary Outcomes
Time in ICU
Time Frame: From ICU admission until ICU discharge, up to 30 days
The total time in hours spent in the ICU, calculated from ICU admission following cardiac surgery to ICU discharge to the general cardiology ward
Complications post cardiac surgery
Time Frame: Number of complications following cardiac surgery, up to 30 days
The number of Society of Cardio-thoracic Surgery register of complications
Length of Hospital Stay
Time Frame: From hospital admission until hospital discharge, up to 30 days
Length of hospital stay from admission to medical discharge
Secondary Outcomes
No secondary outcomes reported