NutritionDay in Worldwide Hospitals: A Cross-sectional Registry
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 250,000
- 试验地点
- 1
- 主要终点
- mortality in hospital (hospital cohort)
研究概览
简要总结
Malnutrition at hospital admission is a risk factor for an unfavourable outcome, prolonged hospital stay and delayed recovery. In these patients the incidence of complications such as nosocomial infections, poor ventilatory function, prolonged bed rest is increased. In addition a relevant proportion of patients have a nutritional intake below their needs during hospitalisation.Mortality has been shown to be up to 8 times higher and dependency at discharge up to 3 times more frequent when actual food intake was below 25% of calculated needs.
The aim of this international cross-sectional multicentre audit and registry is to generate a risk and level of nutritional intervention profile for an individual unit/ward based on case-mix, nutrition care and available structures. This profile should give a snapshot on the relation of risk to resource allocation. The audit is unit centered. Each unit gets as a feedback anonymously its position compared with all other participating units. Risk adjustment for selected patient groups, social environments and structures is planned.
In conclusion this audit/registry will serve five distinct aims:
- Generate a precise map of the prevalence of malnutrition before admission and of decreased nutrient intake according to risk factors, medical specialty, organisational structures and countries.
- Increase in awareness for clinical nutrition in patients, caregiver and hospital managers.
- Enlarge and maintain a reference database for hospitalised patients
- Provide individual unit benchmarking
详细描述
One day international cross-sectional audit in all types of hospital wards. Intensive care units are excluded. Data are collected with the help of questionnaires. Anonymised data entry into the audit database is done with individual and anonymous center and unit-codes.
The data collected consist of four parts:
- Unit organisation and structures:
Structural information about the unit (one sheet / unit) to be filled by the unit supervising physician together with the nursing head. 2. Patient's demographics & medical information:
Demographic profile, diagnostic category based on ICD 10 and nutritional interventions for all patients (one line / patient) to be filled by a responsible person from the medical staff. Oncological patients have an additional caregiver sheet to define precisely cancer stage and specific treatment. 3. Individual self-administered patient questionnaire:
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 6 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients hospitalized in a given ward and present within the unit from 7H00 to 19H00 (e.g.) during the first nursing shift of the nutritionDay (one given day per year), including admissions and discharges within the period.
- •Questionnaire especially dedicated to children and young adults are provided for patients aged 7-
- •Questionnaires for children can be completed by the patients themselves or by a legal guardian.
- •Patients may accept to participate only for the medical documentation part from the caregiver sheet (sheet 2) and individual patient outcome (sheet 4), but refuse to fill the individual patient questionnaire (sheet 3).
排除标准
- •Patient with an age < 6 a.
- •Patients unable to understand and answer questions because none of the 31 available languages is understood for the hospital cohort.
- •Patient's refusal to answer the patient specific questionnaire or refusal of medical data use for auditing and research.
- •Patients admitted and discharged during the same calendar day.
结局指标
主要结局
mortality in hospital (hospital cohort)
时间窗: 30 days
date of death within 30 days of sampling day
次要结局
- length of hospital stay(30 days)
研究者
Michael J. Hiesmayr
Professor of Anesthesia and Intensive Care
Medical University of Vienna