Nutritional Screening in Patients With Cardiovascular Disease
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 250
- 试验地点
- 1
- 主要终点
- Time in ICU
研究概览
简要总结
This is a nutritional screening and assessment study conducted prior to heart surgery. The nutritional status of patients will be assessed by a series of questionnaires, blood/urine biomarkers and measurement of grip strength and body composition. The investigators will then evaluate of any of the assessments are linked with clinical outcomes following surgery. For example, how long do patients stop in the intensive care unit (ICU), in hospital and how many complications patients experience.
The investigators hope to use this important clinical data to understand how medical staff can identify a poor nutritional status and which patients may need nutritional support prior to surgery.
详细描述
This is a cross sectional nutritional screening and assessment study conducted prior to cardiac surgery . The investigators will focus on comparing aspects of nutritional status with robust and validated clinical outcomes (mechanical ventilation, ICU time, hospital stay and Society of Cardiothoracic Surgery (SCTS) complications). The investigators will utilise various nutritional screening questionnaires and assessments, including routine clinical malnutrition tools (i.e. MUST, NRS), plus more nutritional quality assessments such as the NOVA ultra-processed food intake, mediterranean diet and blood biomarker panels such as the Prognostic Nutritional Index (PNI), Controlling Nutritional Status (CONUT).
The investigators will also undertake a functional grip strength test and measure body composition including fat mass (FM) & fat-free mass (FFM), segmental analysis, sarcopenic obesity and visceral fat. The study will also conduct questionnaires regarding other lifestyle related factors (sleep, recent physical activity, stress, anxiety, depression) which might also influence surgical outcomes.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 40 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •No pre-specified inclusion criteria to ensure we recruit a representative group of patients.
排除标准
- •All patients without proficiency in English that allows completion of questionnaires
- •Unable to provide written consent
研究组 & 干预措施
Surgical- Group 1
干预措施: Nutritional Screening (Behavioral)
结局指标
主要结局
Time in ICU
时间窗: From ICU admission until ICU discharge, up to 30 days
The total time in hours spent in the ICU, calculated from ICU admission following cardiac surgery to ICU discharge to the general cardiology ward
Complications post cardiac surgery
时间窗: Number of complications following cardiac surgery, up to 30 days
The number of Society of Cardio-thoracic Surgery register of complications
Length of Hospital Stay
时间窗: From hospital admission until hospital discharge, up to 30 days
Length of hospital stay from admission to medical discharge
次要结局
未报告次要终点