A Prospective Observational Study on the Prevalence of Malnutrition and Clinical-Economic Aspects of the Impact of Specialized Nutritional Care on the 3-month Outcomes of Patients at High Risk of Malnutrition Admitted to a Rehabilitation Hospital
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 193
- 试验地点
- 1
- 主要终点
- Hospital readmissions rate
研究概览
简要总结
The goal of this observational study is to learn about the clinical and economic aspects of specialized nutritional care in participiants at high risk of malnutrition (Malnutrition Universal Screening Tool-MUST equal or higher than 2) admitted to a rehabilitation hospital. The main questions it aim to answer are:
- Does a specialized nutritional care lower hospital readmission rate at three months post-discharge in participiants at high risk of malnutrition admitted to a rehabilitation hospital?
- Does a specialized nutritional care lower the number of emergency department admissions, number of general practitioner (GP) and outpatient visits, number of diagnostic tests and daily medication use and mortality rate in participiants at high risk of malnutrition admitted to a rehabilitation hospital?
Participiants at high risk of malnutrition, three months after discharge were monitored through telephone interview about the hospital readmission and mortality rate, the number of emergency department admissions, GP and outpatient visits, diagnostic tests and daily medication use for treatment burden.
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
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Admission to the rehabilitation hospital IRCCS Fondazione Don Carlo Gnocchi ONLUS, Florence
- •high risk of malnutrition (Malnutrition Universal Screening Tool-MUST equal or higher than 2)
排除标准
- •age under 50 years;
- •oncological diagnosis associated with a poor six-month prognosis and/or with advanced or irreversible cachexia;
- •end-stage renal disease (dialysis);
- •people already participating in a cardiac rehabilitation program at the time of enrollment;
- •people with severe acquired brain injuries admitted for neurological rehabilitation.
结局指标
主要结局
Hospital readmissions rate
时间窗: 90 days post discharge
The rate of hospital readmissions at three months post-discharge was computed as number of hospital readmissions from discharge to three-month follow-up.
次要结局
- General practitioner visits rate(90 days post-discharge)
- Emergency department admissions rate(90 days post-discharge)
- Outpatient visits rate(90 days post-discharge)
- Daily medication rate(90 days post-discharge)
- Diagnostic tests rate(90 days post-discharge)
- Mortality rate(90 days post-discharge)