Development of a Decision Support System to Prevent and Treat Disease-related Malnutrition
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Change in body weight (kg) during hospital stay
研究概览
简要总结
The prevalence of disease-related malnutrition among hospitalized patients is 30-50%. There is a lack of tools to follow up the nutritional treatment of these patients. The investigators develop the decision support system "MyFood" which can be used to assess patients' dietary intake, evaluate intake against individual needs, and propose nutrition related measures and an individual nutrition plan for each patient. The investigators will study the clinical effects of using MyFood among hospitalized patients. In addition the implementation of the tool among healthcare workers will be studied.
详细描述
The prevalence of disease-related malnutrition among hospitalized patients is 30-50%. Disease-related malnutrition increase the morbidity and mortality among patients and leads to longer length of stay. There is a lack of tools to follow up the nutritional treatment of patients at nutritional risk. The decision support system "MyFood" is developed in the project with the purpose to prevent and treat disease-related malnutrition. MyFood includes 4 modules: 1) A function to register patient needs and symptoms, 2) Dietary assessment function, 3) Automatic evaluation of dietary intake compared to individual needs, 4) Feedback, including a report on intake of energy, protein, and liquids compared to individual needs, and recommendations for nutritional measures and an individual nutrition plan.
Clinical effects of using MyFood among hospitalized patients will be studied in a randomized controlled trial. In addition, the implementation of the tool among nurses and other healthcare workers will be explored.
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
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Exclusion Criteria:
- •<72 hours expected hospital stay
- •Terminal patients
- •Psychiatric patients
- •Patients who cannot read the Norwegian Language
- •Patients diagnosed with: sickle cell anemia, haemophilia, or deep vein thrombosis
排除标准
- •<72 hours expected hospital stay
- •Terminal patients
- •Psychiatric patients
- •Patients who cannot read the Norwegian Language
- •Patients diagnosed with: sickle cell anemia, haemophilia, or deep vein thrombosis
研究组 & 干预措施
Arm A
Use of the MyFood tool among patients and nurses (intervention group)
干预措施: MyFood (Device)
Arm B
No intervention. Regular hospital routines
结局指标
主要结局
Change in body weight (kg) during hospital stay
时间窗: 2 times each week, from patient admission (day 1) to hospital discharge (on average day 11)
Measured standing on an electronic scale
次要结局
- Proportion of patients who get implemented nutrition-related measures(Assessed from medical journals every second day during each patient's hospital stay (11 days on average))
- Proportion of patients who receive a nutrition plan(Assessed from the participating patients' medical journals on day 2 and every second day during hospital stay (11 days on average))
- Re-admissions(30 days after discharge)
- Patient length of hospital stay(At the day of patient discharge (on day 11))
- Change in body Composition(2 times each week, from patient admission (day 1) to hospital discharge (on average day 11))
- Proportion of patients who receives a nutrition diagnose(Assessed from medical journals every second day during each patient's hospital stay (11 days on average))
- Patient generated subjective global assessment (PG-SGA) score(Measured on day 1 and at admission (day 11 on average))
研究者
Mari Mohn Paulsen
Project coordinator
Oslo University Hospital