Evaluate the Prevalence of Undernutrition in Adult Patients Hospitalized on a Given Day at the Pitié-Salpêtrière Hospital (PSL) According to HAS Criteria in 2019 (if Age <70 Years) and 2021 (if Age ≥ 70 Years)
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 385
- 试验地点
- 1
- 主要终点
- Prevalence of undernutrition diagnosed according to HAS 2019 and 2021 criteria on a given day in hospitalized PSL patients.
研究概览
简要总结
According to the literature, malnutrition affects between 30% and 50% of hospitalized patients. The most recent survey on the prevalence of malnutrition in hospitals in France dates back to 2003, and at the Pitié Salpêtrière Hospital to 2015. Malnutrition is a pathological process that can lead to complications for patients and prolong their length of stay.
Main objective: Evaluate the prevalence of malnutrition in adult patients hospitalized on a given day at Pitié-Salpêtrière Hospital (PSL) according to HAS ( High Authority for Health) criteria for 2019 (if age <70 years) and 2021 (if age ≥ 70 years).
详细描述
According to the literature, malnutrition affects between 30% and 50% of hospitalized patients. The most recent survey on the prevalence of malnutrition in hospitals in France dates back to 2003, and at the Pitié Salpêtrière Hospital to 2015. Malnutrition is a pathological process that can lead to complications for patients and prolong their length of stay.
Main objective: Evaluate the prevalence of malnutrition in adult patients hospitalized on a given day at Pitié-Salpêtrière Hospital (PSL) according to HAS (High Authority for Health) criteria for 2019 (if age <70 years) and 2021 (if age ≥ 70 years).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18 years
- •Hospitalized for at least 2 days in a Pitié Salpêtrière department of the 8 selected DMUs.
- •Patient informed and not objecting to participation in the study.
排除标准
- •Be hospitalized in a PRM, SMR, radiotherapy or adult psychiatry department
- •Be hospitalized in an intensive care or resuscitation unit of the 8 selected DMU
- •Be at the end of life, as determined by the referring clinician
- •Have a communication barrier preventing the collection of declarative data
- •Pregnancy in progress;
- •Patient under guardianship.
结局指标
主要结局
Prevalence of undernutrition diagnosed according to HAS 2019 and 2021 criteria on a given day in hospitalized PSL patients.
时间窗: 3 days
The survey is conducted over 3 days due to : - The mobilization of medical and paramedical staff for the undernutrition screening phase is only possible over a limited period of time. - The patients to be assessed will be drawn at random from a list provided by the Admissions department ; the draw will then be carried out by the Public Health department (excluding the ORIGYNE DMU, the PRM and respiratory and neurorespiratory SSR departments, and the radiotherapy department (few hospitalizations lasting more than 24-48 hours)). In addition, it is important to specify that, if at the end of phase 1 of the survey, the auditor (dietician and/or doctor) finds that a patient is undernourished, the auditor will inform the department's referring doctor within 24 hours. The resulting treatment will be carried out by the referring dietician on the basis of a medical prescription.
次要结局
- Compare the prevalence and the severity of undernutrition in hospitalized PSL patients according to the HAS criteria of 2019 (if age <70 years) and 2021 (if age ≥ 70 years) versus those of 2003 (if age <70 years) and 2007 (if age ≥ 70 years).(6 months)
- Evaluate the quality of nutritional management for malnourished patients hospitalized at PSL. Using PMSI coding, assess the value of activities associated with undernutrition in undernourished patients hospitalized at PSL.(6 months)