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NutritionDay in Worldwide Hospitals: An International Audit and Registry on Nutrition and Outcome (nutritionday)

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ClinicalTrials.gov Identifier: NCT02820246
Recruitment Status : Recruiting
First Posted : June 30, 2016
Last Update Posted : March 16, 2018
Sponsor:
Collaborators:
European Society of Clinical Nutrition and Metabolism (ESPEN)
Austrian Society for Clinical Nutrition
Information provided by (Responsible Party):
Michael J. Hiesmayr, Medical University of Vienna

Brief Summary:

Malnutrition at hospital admission is a risk factor for an unfavourable outcome, prolonged hospital stay and delayed recovery. In these patients the incidence of complications such as nosocomial infections, poor ventilatory function, prolonged bed rest is increased. In addition a relevant proportion of patients have a nutritional intake below their needs during hospitalisation.Mortality has been shown to be up to 8 times higher and dependency at discharge up to 3 times more frequent when actual food intake was below 25% of calculated needs.

The aim of this international cross-sectional multicentre audit and registry is to generate a risk and level of nutritional intervention profile for an individual unit/ward based on case-mix, nutrition care and available structures. This profile should give a snapshot on the relation of risk to resource allocation. The audit is unit centered. Each unit gets as a feedback anonymously its position compared with all other participating units. Risk adjustment for selected patient groups, social environments and structures is planned.

In conclusion this audit/registry will serve five distinct aims:

  • Generate a precise map of the prevalence of malnutrition before admission and of decreased nutrient intake according to risk factors, medical specialty, organisational structures and countries.
  • Increase in awareness for clinical nutrition in patients, caregiver and hospital managers.
  • Enlarge and maintain a reference database for hospitalised patients
  • Provide individual unit benchmarking

Condition or disease Intervention/treatment
Malnutrition Other: nutrition

  Show Detailed Description

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Study Type : Observational [Patient Registry]
Estimated Enrollment : 250000 participants
Observational Model: Cohort
Time Perspective: Cross-Sectional
Target Follow-Up Duration: 30 Days
Official Title: NutritionDay in Worldwide Hospitals: A Cross-sectional Registry
Study Start Date : January 2006
Estimated Primary Completion Date : June 2021
Estimated Study Completion Date : June 2021

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
hospitalised patients
all patients present in a hospital ward during the morning shift
Other: nutrition
type and amount of food eaten or type of oral nutritional supplements as well as enteral or parenteral nutrition
Other Names:
  • hospital food
  • oral protein energy supplements
  • enteral nutrition
  • parenteral nutrition




Primary Outcome Measures :
  1. mortality in hospital (hospital cohort) [ Time Frame: 30 days ]
    date of death within 30 days of sampling day


Secondary Outcome Measures :
  1. length of hospital stay [ Time Frame: 30 days ]
    date of discharge or death within 30 days after the cross-sectional sampling day



Information from the National Library of Medicine

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Ages Eligible for Study:   6 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
All patients hospitalised on a given day in hospital wards.
Criteria

Inclusion Criteria:

  • All patients hospitalized in a given ward and present within the unit from 7H00 to 19H00 (e.g.) during the first nursing shift of the nutritionDay (one given day per year), including admissions and discharges within the period.

Questionnaire especially dedicated to children and young adults are provided for patients aged 7-17. Questionnaires for children can be completed by the patients themselves or by a legal guardian.

  • Patients may accept to participate only for the medical documentation part from the caregiver sheet (sheet 2) and individual patient outcome (sheet 4), but refuse to fill the individual patient questionnaire (sheet 3).

Exclusion Criteria:

  • Patient with an age < 6 a.
  • Patients unable to understand and answer questions because none of the 31 available languages is understood for the hospital cohort.
  • Patient's refusal to answer the patient specific questionnaire or refusal of medical data use for auditing and research.
  • Patients admitted and discharged during the same calendar day.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02820246


Contacts
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Contact: Michael J Hiesmayr, MD, MSc +43140400 ext 41090 michael.hiesmayr@meduniwien.ac.at
Contact: Sigrid Moick, MA +436805524917 office@nutritionday.org

Locations
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Austria
Medical University Vienna Recruiting
Vienna, Austria, 1090
Contact: Michael J Hiesmayr, MD, MSc    +43140400 ext 41090    michael.hiesmayr@meduniwien.ac.at   
Sponsors and Collaborators
Medical University of Vienna
European Society of Clinical Nutrition and Metabolism (ESPEN)
Austrian Society for Clinical Nutrition
Investigators
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Principal Investigator: Michael J Hiesmayr, MD, MSc Medical University of Vienna

Additional Information:
Publications of Results:

Other Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Michael J. Hiesmayr, Professor of Anesthesia and Intensive Care, Medical University of Vienna
ClinicalTrials.gov Identifier: NCT02820246     History of Changes
Other Study ID Numbers: 407/2005
First Posted: June 30, 2016    Key Record Dates
Last Update Posted: March 16, 2018
Last Verified: March 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Upon submission of a research proposal data anonymised data are shared with researcher. Each proposal is submitted to the supervisory board for approval.

Keywords provided by Michael J. Hiesmayr, Medical University of Vienna:
nutrition assessment
nutrition therapy
nutrition surveys
patient outcome assessment
outcome and process assessment
benchmarking
risk assessment
scoring system

Additional relevant MeSH terms:
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Malnutrition
Nutrition Disorders