Clinical Nutrition Concept for Hospitalized Patients With Malnutrition (NUTRICORE)
|Malnutrition||Behavioral: evidence based clinical nutrition concept Behavioral: care as usual|
|Study Design:||Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:||Effect of an Evidence Based Clinical Nutrition Concept on Clinical Outcomes in Hospitalized Patients With Malnutrition When Severity of Disease is Taken Into Consideration|
- Length of hospital stay [ Time Frame: At least 3 months each group, 6 months for both groups ]
- all cause hospital mortality [ Time Frame: At least 3 months each group, 6 months for both groups ]
- complication rate [ Time Frame: At least 3 months each group, 6 months for both groups ]
- hospital readmission rate [ Time Frame: 1 Month each group ]
- Economic devices (direct costs of inpatient care and reimbursement) [ Time Frame: At least 4 months each group, 7 months for both groups ]
|Study Start Date:||July 2006|
|Study Completion Date:||March 2008|
|Primary Completion Date:||December 2007 (Final data collection date for primary outcome measure)|
evidence based clinical nutrition concept
Behavioral: evidence based clinical nutrition concept
The evidence based nutrition concept comprise a routine malnutrition screening for hospitalized patients, the implementation of an evidence based guideline for clinical nutrition in the participating hospital, education training of the clinical staff and thereby optimal clinical nutrition for malnourished hospitalized patients.
Other Name: Optimized clinical nutrition concept
care as usual
Behavioral: care as usual
Unchanged treatment of hospital patients without interference by the study.
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00673530
|Städtisches Klinikum Ansbach|
|Kliniken Südliche Weinstraße Landau|
|Bad Bergzabern, Germany|
|Evangelische und Johanniter Kliniken|
|Study Director:||Stefan N Willich, Prof. Dr.||Charite University, Berlin, Germany|