Descriptive and Comparative Analyses of Malnutrition Screening in Internal Medicine
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Malnutrition
- Sponsor
- University Medicine Greifswald
- Enrollment
- 323
- Locations
- 1
- Primary Endpoint
- Overall presence of malnutrition risk
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The goal of this observational study is to study the presence and consequences of malnutrition risk in hospitalized internal medicine patients.
The main questions it aims to answer are:
- How many patients are at risk of malnutrition at admission?
- Is there a link between an existing malnutrition risk and nutrition therapy that the patients receive?
- Is there a link between an existing malnutrition risk and clinical outcome (e.g. length of hospital stay, mortality, need for rehospitalization)?
Participants will be screened for malnutrition risk at admission using a validated questionnaire (Nutritional Risk Screening 2002). All relevant data regarding hospital stay will be obtained from the clinical information system after discharge.
Detailed Description
Malnutrition is associated with adverse clinical outcome in hospitalized patients. Therefore, systematic screening for malnutrition risk at admission is recommended by almost all medical expert societies to identify patients who will benefit from nutritional therapy. Although clinical and economic benefit of systematic malnutrition screening have been shown in various settings and for different patient groups, such screening is still not mandatory in most countries. In part, establishment of malnutrition screening is hampered by discrepant findings on the prevalence of malnutrition risk and the lack of evidence on a local level. Hence, in this observational study the investigators examine the results of systematic malnutrition screening in internal medicine patients admitted to a university hospital in Northeast Germany. In particular, the investigators aim to determine the prevalence of malnutrition risk at hospital admission, the association between malnutrition risk and nutrition therapy as well as clinical outcome in different disciplines of internal medicine. For this purpose, all patients undergo screening for malnutrition risk at admission using a validated instrument (Nutritional Risk Screening 2002). All relevant data regarding the patients' hospital stay will be obtained from the clinical information system after discharge.
Investigators
Eligibility Criteria
Inclusion Criteria
- •hospital admission for gastrointestinal, endocrine, rheumatic, or nephrological condition
- •provision of informed consent
Exclusion Criteria
- •inability to provide consent
- •unfeasibility to perform malnutrition screening within 48h after admission
Outcomes
Primary Outcomes
Overall presence of malnutrition risk
Time Frame: Baseline
Prevalence of malnutrition risk, i.e. Nutritional Risk Screening 2002 (NRS-2002) score \>= 3 points, in all internal medicine patients at hospital admission. NRS-2002 score ranges from 0 to 7, with higher values indicating greater nutritional risk.
Secondary Outcomes
- Presence of malnutrition risk in gastroenterology(Baseline)
- Presence of malnutrition risk in rheumatology(Baseline)
- Presence of malnutrition risk in nephrology(Baseline)
- Relation of malnutrition risk to nutritional consultation(Baseline)
- Relation of malnutrition risk to intermediate care treatment(Baseline)
- Presence of malnutrition risk in endocrinology(Baseline)
- Relation of malnutrition risk to nutritional diagnosis(Baseline)
- Relation of malnutrition risk and 30-day readmission(Baseline)
- Relation of malnutrition risk to intensive care treatment(Baseline)
- Relation of malnutrition risk to mortality(Baseline)
- Relation of malnutrition risk and 90-day readmission(Baseline)
- Relation of malnutrition risk to length of hospital stay(Baseline)