Valutazione All'Ingresso Del Rischio Nutrizionale in Pazienti Ricoverati Nel Reparto di Medicina Interna (AMIDO)

Not Applicable

Completed

• Conditions: Hospitalized Patient; Malnutrition
• Interventions: Other: Nutritional intervention

• Registration Number: NCT06496984
• Lead Sponsor: Azienda Sanitaria Locale di Alessandria

Brief Summary

The aim of this study is to identify the risk of malnutrition in patients admitted to the Internal Medicine departments using the MUST screening tool. Additional aspects are to evaluate malnourished patients' characteristics and effectiveness of an early nutritional programme started during hospitalization.

Detailed Description

Malnutrition is defined as a nutritional state characterized by an excess or deficient intake of nutrients. This condition may result in a change in body composition and in organic disfunctions. Malnutrition in hospitalized patients is a condition prevalent worldwide affecting between 20% and 50% of patients at admission, with further increase expected during hospitalization. Patients hospitalized in internal medicine departments are frequently older with multimorbidity and polypharmacy, so very likely to be malnourished, but the prevalence and determinants of malnutrition remain unclear.

In AMIDO study, all patients with MUST 1 and 2 will be sent to the a dietitian. The clinician will act on the patient's characteristics by providing different dietary therapies, such as oral nutritional supports (ONS), extra nutritional cares, diet changes without supplements and artificial nutrition.

Study Timeline

• Study Start: 2023-01-01
• Primary Completion: 2023-05-31
• Study Completion: 2023-12-31
• Status Verified: 2024-06
• Study First Submitted: 2024-06-25
• Study First Submitted QC: 2024-07-10
• Last Update Submitted: 2024-07-10
• Study First Posted: 2024-07-11
• Last Update Posted: 2024-07-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 268

Inclusion Criteria

• Patients admitted from 1st January 2023 to 31th May 2023 at the Internal Medicine Department of the Monsignor Giovanni Galliano Hospital in Acqui Terme of the Alessandria ASL.

Exclusion Criteria

• none

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Nutritional Intervention	Nutritional intervention	All patients with MUST 1 and 2 will be sent to the dietitian. The clinician will act on the patient's characteristics by providing different dietary therapies, such as oral nutritional supports (ONS), extra nutritional cares, diet changes without supplements and artificial nutrition.

Primary Outcome Measures

Name	Time	Method
Risk of malnutrition	Before the intervention (Baseline/T0) and at the hospital discharge, an average of 8 days after (Final/T1)	Assessment of patients' risk of malnutrition on admission through the MUST questionnaire.

Secondary Outcome Measures

Name	Time	Method
Clinical conditions and malnutrition	Before the intervention (Baseline/T0) and at the hospital discharge, an average of 8 days after (Final/T1)	Correlation between clinical outcomes of enrolled patients and level of malnutrition on admission, measured by MUST questionnaire
Gender and malnutrition	Before the intervention (Baseline/T0) and at the hospital discharge, an average of 8 days after (Final/T1)	Correlation between gender of enrolled patients and nutritional status at the time of admission, measured by MUST questionnaire

Trial Locations

Locations (1)

Azienda Sanitaria Locale di Alessandria (ASL AL); 🇮🇹 Alessandria, Piedmont, Italy