An Email Intervention to Prevent Iatrogenic Malnutrition in the ICU

Malnutrition Clinical Trial

Official title:

An Email Intervention to Prevent Iatrogenic Malnutrition in the ICU

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02277535
• Other study ID #: 2014P001702
• Status: Completed
• Phase: N/A
• First received: October 27, 2014
• Last updated: January 31, 2017
• Start date: December 2014
• Est. completion date: April 2015

Study information

• Verified date: January 2017
• Source: Massachusetts General Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a quality improvement research project evaluating if a targeted feedback email to clinicians impacts their nutrition delivery in the ICU.

Description:

This prospective study looks to determine if a targeted email to clinicians taking care of critically ill patients will allow reduce malnutrition in the Intensive Care Units (ICU). Four ICUs will be included: medical ICU (MICU), coronary care unit (CCU) and two surgical ICUs. The investigators will rotate a 2 month period intervention amongst the aforementioned participating ICUs and follow simultaneous cohorts to evaluate the effect of our intervention (email feedback to treating clinicians) on nutrition delivery in the ICU. After the completion of the intervention, there will be a six-month follow-up of nutritional adequacy to assess the durability of changes in behavior.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 197
• Est. completion date: April 2015
• Est. primary completion date: April 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Clinicians taking care of patients admitted to the ICU within the past 48hrs

• Clinicians taking care of patients in whom enteral nutrition is prescribed

Exclusion Criteria:

• Clinicians taking care of patients in whom enteral nutrition is not prescribed.

Related Conditions & MeSH terms

• Malnutrition

Intervention

Other:
• Feedback/Reminder email.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Massachusetts General Hospital

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Patients started on nutrition within 72 h of ICU admission	The ICU admission date and EN initiation date will be collected in a data base which will later be analyzed to assess the percentange of patients initiated on EN within 72 hours of admission to the ICU. This will be reported as rates and will be compared amongst intervention and no-intervention arms using Fisher's Exact test or Chi-sq Test	After completing the intervention for each ICU (2 months)