Developing an Organization to Improve the Screening and Care of Starved Children in Hospital
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,457
- 试验地点
- 2
- 主要终点
- Adherence to recommended practices (including weigh in, physiotherapy, nutrition survey and monitoring)
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 1 Month 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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.
研究组 & 干预措施
Nutritional Support Team
干预措施: Access to a Computerized Clinical Decision Support System (CCDDS) (Procedure)
Nutritional Support Team
干预措施: Education of Healthcare workers (Behavioral)
Nutritional Support Team
干预措施: Local assistance by a dietician (Other)
Usual care
干预措施: Access to a Computerized Clinical Decision Support System (CCDDS) (Procedure)
结局指标
主要结局
Adherence to recommended practices (including weigh in, physiotherapy, nutrition survey and monitoring)
时间窗: At least 2 days depending on the hospitalisation time
次要结局
- 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)