Sixteen Years Trends in Reported Undernutrition in Switzerland

Completed

• Conditions: Malnutrition; Epidemiology

• Registration Number: NCT03239093
• Lead Sponsor: Centre Hospitalier Universitaire Vaudois

Brief Summary

To assess 16-year trends in undernutrition reporting and management in Switzerland

Detailed Description

Analysis of data from the Swiss hospital discharge databases between 1998 and 2014. The database was provided by the Swiss federal office of statistics (http://www.bfs.admin.ch); it covers 98% of public and private hospitals within Switzerland and includes all stays for each hospital.

Study Timeline

• Study Start: 2017-01-01
• Primary Completion: 2017-07-29
• Study Completion: 2017-07-29
• Status Verified: 2017-08
• Study First Submitted: 2017-08-01
• Study First Submitted QC: 2017-08-01
• Last Update Submitted: 2017-08-01
• Study First Posted: 2017-08-03
• Last Update Posted: 2017-08-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 13297188

Inclusion Criteria

• adult patients (aged ≥20 years), length of hospital stay >1 day, not having any ICD-10 codes related to pregnancy, childbirth and puerperium (i.e. ICD-10 codes beginning with letter "O") as main diagnosis, and having complete demographic data and information on main diagnosis and mortality

Exclusion Criteria

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
undernutrition reporting	1998-2014	ICD-10 codes E12 (undernutrition-related diabetes mellitus), E40 (kwashiorkor), E41 (nutritional marasmus), E42 (marasmic kwashiorkor), E43 (unspecified severe protein-energy undernutrition), E44 (protein-energy undernutrition of moderate and mild degree), E46 (unspecified protein-energy undernutrition), R63 (R63.0: Anorexia, R63.3: feeding difficulties and mismanagement; R63.4: abnormal weight loss and R63.6: Insufficient intake of food and water due to self-neglect), and R64 (cachexia).

Secondary Outcome Measures

Name	Time	Method
nutritional management	1998-2014	CHOP codes related to enteral nutrition (96.6 and 96.35), parenteral nutrition (99.15), nutritional advice and therapy (89.0A.30, 89.0A.31 or 89.0A.32, depending on year) and multimodal nutritional therapy (89.0A.4\*, where \*=any number).