Preventing Malnutrition and Restoring Nutritional Status in Hospitalized Children

Not Applicable

Completed

• Conditions: Nutrition Disorders
• Interventions: Procedure: Access to a Computerized Clinical Decision Support System (CCDDS); Behavioral: Education of Healthcare workers; Other: Local assistance by a dietician

• Registration Number: NCT01081587
• Lead Sponsor: Hospices Civils de Lyon

Brief Summary

This cluster-randomized trial will evaluate the impact of a multifaceted intervention (including electronic medical alerts) coordinated by a Nutritional Support Team, on adherence to recommended practices for care of starved children, among health personnel of a large university hospital. A key component of the study is to assess whether improved adherence to guidelines leads to a reduction in rates of complications.

Detailed Description

Not available

Study Timeline

• Study Start: 2009-10
• Study First Submitted: 2010-02-19
• Study First Submitted QC: 2010-03-04
• Study First Posted: 2010-03-05
• Primary Completion: 2011-10
• Study Completion: 2011-10
• Status Verified: 2013-05
• Last Update Submitted: 2013-05-14
• Last Update Posted: 2013-05-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1457

Inclusion Criteria

• medical and surgical units in a large teaching hospital providing pediatric acute care.
• any hospital staff with direct patient care who are affiliated with a single unit (includes physicians, nurses, nursing assistants, physiotherapists, dieticians.
• all children recorded as malnourished at their entrance in hospital

Exclusion Criteria

• neonatal and intensive care units.
• any hospital staff with direct patient care who are not affiliated with a single unit.
• age under one month, liver or kidney abnormalities, severe heart failure, stay less than 2 days.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Nutritional Support Team	Access to a Computerized Clinical Decision Support System (CCDDS)	-
Nutritional Support Team	Education of Healthcare workers	-
Nutritional Support Team	Local assistance by a dietician	-
Usual care	Access to a Computerized Clinical Decision Support System (CCDDS)	-

Primary Outcome Measures

Name	Time	Method
Adherence to recommended practices (including weigh in, physiotherapy, nutrition survey and monitoring)	At least 2 days depending on the hospitalisation time

Secondary Outcome Measures

Name	Time	Method
Incidence of complications	At least 2 days depending on the hospitalisation time
Nutritional status evolution	At least 2 days depending on the hospitalisation time
Mean length and cost of stay	At least 2 days depending on the hospitalisation time
Appropriate call-in Nutritional Support Team	At least 2 days depending on the hospitalisation time

Trial Locations

Locations (1)

Hospices Civils de Lyon (HCL) - Hôpital Femme-Mère-Enfant; 🇫🇷 Bron, France