Oral Nutritive Supplements : Indications, Prescription and Follow-up for Hospitalized and Out-patients at Nutritional Risk or With Malnutrition. A Quality Care Programme at the Geneva University Hospital : The ONSHUG Survey
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 416
- 试验地点
- 1
- 主要终点
- Oral Nutritive Supplements medical prescription
研究概览
简要总结
Hypothesis : At hospital discharge for home, the medical prescription of ONS according to the official criteria of SSNC and the legal regulations (completed prescription according to health's insurance and homecare delivery) dictates the compliance of the patient and the reimbursement of the ONS.
详细描述
Rationale : At hospital admission, patients with an acute or chronically impaired nutritional balance are at nutritional risk. These patients can be identified by the Nutritional Risk Score 2002 (NRS 2002). Oral Nutritive Supplements (ONS) represent the first line of nutrition intervention. ONS are frequently prescribed during the hospital stay, and should be continued or discontinued after the hospital discharge. This latter decision should be based on officials criteria, defined by the Swiss Society for Clinical Nutrition (SSNC). To allow ONS reimbursement according to the legal regulations, all required administrative actions should be completed at the time of ONS prescription until the end of the treatment.
Center : Geneva University Hospital (HUG), site of Cluse-Roseraie.
Design : Quality control prospective observational survey.
Population : Hospitalized adults patients with Oral Nutritive Supplements (ONS). Four hundred patients to be included.
Duration : Inclusion from April to December 2015 (9 months).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
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
- •Age > 18 years
- •Hospitalization in medical and surgical wards of the Geneva University Hospital, site of Cluse-Roseraie
- •Oral nutritive supplements prescription during hospitalization
排除标准
- •Oral nutritive supplements delivery by a homecare before the admission in Geneva University Hospital wards, site of Cluse-Roseraie
- •Patient refusal to consume oral nutritive supplements
- •Major disorders of consciousness (ex : dementia)
- •Physical impossibility to consume Oral nutritive supplements (ex : dysphagia, dysfunction of upper limbs, etc.)
- •Patient refusal to participate to the survey
结局指标
主要结局
Oral Nutritive Supplements medical prescription
时间窗: Change between prescription at hospital and prescription at hospital discharge (an expected average of 6 days after admission)
次要结局
- Reasons for stopping the oral nutritive supplements intake if stopped(One month after hospital discharge)
- Number of oral nutritive supplements consumed compared to prescription at hospital discharge(One month after hospital discharge)
- Indications for oral nutritive supplements prescription according to the official criteria of SSNC(At hospital discharge for home (an expected average of 6 days after admission))
- NRS 2002 score assessed by questionnaire(Change between score at oral nutritive supplements prescription at hospital and score at hospital discharge for home (an expected average of 6 days after admission) and score one month after hospital discharge for home)
- Timing for stopping the oral nutritive supplements intake if stopped(One month after hospital discharge)
研究者
Prof. Claude Pichard
Professor of Nutrition and Head of Clinical Nutrition Unit
University Hospital, Geneva