Effect of an Evidence Based Clinical Nutrition Concept on Clinical Outcomes in Hospitalized Patients With Malnutrition When Severity of Disease is Taken Into Consideration
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 10,242
- 试验地点
- 4
- 主要终点
- Length of hospital stay
研究概览
简要总结
The purpose of this study is to determine whether there is a positive correlation between an evidence based clinical nutrition concept and relevant clinical outcomes in malnourished hospitalised patients when severity of disease is adjusted.
详细描述
Patients have been consecutively screened at admission by SGA (Subjective-Global-Assessment)-Score and NRS 2002 (Nutritional-Risk-Screening)-Score in the departments of surgery and internal medicine. The nutrition status of each patient is combined with clinical data, utilization data and direct costs on the basis of clinical homogenous patient clusters. Risk-Adjustment was provided by the Disease-Staging-Scale (MEDSTAT/Thomson Healthcare, Ann Arbor MI), which allows patient classification by diagnosis and co morbidities including age and gender. The risk adjustment scales run by routine data sets from german inpatient G-DRG system. In the control period the effects of usual nutrition care are documented. During the intervention period an implementation of an interdisciplinary evidence-based guideline for screening and clinical nutrition was introduced in each participating hospital.
The issue is to describe the relation between risk-adjusted malnutrition status and clinical outcomes and costs.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 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
- •at least 18 years of age
- •internal or operative admission diagnosis in participating hospitals
排除标准
- •Patients with demand for emergency care
- •Patients with demand for intensive care
- •Patients with hospital day-care
- •Patients unwilling to participate or unable to comply with the protocol in the control group
结局指标
主要结局
Length of hospital stay
时间窗: At least 3 months each group, 6 months for both groups
次要结局
- complication rate(At least 3 months each group, 6 months for both groups)
- hospital readmission rate(1 Month each group)
- Economic devices (direct costs of inpatient care and reimbursement)(At least 4 months each group, 7 months for both groups)
- all cause hospital mortality(At least 3 months each group, 6 months for both groups)