Malnutrition Clinical Trial
Official title:
Investigation of the Effectiveness and Efficiency of a Structural Clinical Nutrition Support by an Interdisciplinary Nutrition Support Team at the University Hospital Tübingen
The purpose of this study is to investigate the effectiveness and efficiency of a structural clinical nutrition support by an interdisciplinary Nutrition Support Team. To do this we examine nutritional management and its economic impact as well as the nutritional status of patients of University Hospital Tübingen before and after the implementation of a Nutritional Support Team.
In German hospitals disease related malnutrition is a major problem. Malnutrition is known
to be associated with decreased quality of life, altered body composition as well as
increased length of hospital stay. Guidelines recommend the installation of Nutrition
Support Teams (NST) to combat this situation. However, the majority of German hospitals
lacks a NST.
In the present study, we want to examine the effectiveness and efficiency of a Nutrition
Support Team (NST) in an University hospital with 1500 beds. To do this we investigate the
nutritional management, its economic impact and patient related data before and after
NST-implementation. Examinations include a structural analysis of the hospital with regard
to nutritional procedures and a patient-based analysis.
Patients are recruited from three representative normal wards and two intensive care units.
Here we identify patients with risk for malnutrition with the help of nutritional screening
tools (NRS 2002 [Nutritional Risk Screening]; NUTRIC [Nutritional Risk in the critically
ill] Score).This is performed within the first three days after admittance. The patients
with risk for malnutrition (NRS 2002 of 3 or more than 3, NUTRIC Score of 4 or more than 4)
are included for further investigations. These include anthropometric measurements ,
assessment of body composition, evaluation of nosocomial infection and decubitus rate,
quality of life (SF-12 questionnaire), length of hospital stay, evaluation of mortality
risk, organ function and severity of illness as well as economic factors. Most examinations
are repeated weekly depending from the length of stay in hospital.
All this examinations and evaluations will be collected at two time points. Before and after
the implementation of a nutritional support team. That means we have two groups: group A-
before NST-implementation (n=420) and group B - after NST-implementation (n=420).
After the whole data collection we want to compare the results of the two groups.
;
Observational Model: Case Control, Time Perspective: Prospective
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT04448041 -
CRANE Feasibility Study: Nutritional Intervention for Patients Undergoing Cancer Surgery in Low- and Middle-Income Countries
|
||
| Completed |
NCT03268902 -
Early Life Interventions for Childhood Growth and Development In Tanzania
|
Phase 2/Phase 3 | |
| Active, not recruiting |
NCT04746664 -
Effects of Nutrition Counselling on Old Age People's Nutritional Status and Quality of Life in Bahir Dar City, North West Ethiopia
|
N/A | |
| Completed |
NCT04608656 -
Livestock for Health Project
|
N/A | |
| Completed |
NCT06009198 -
Nutritional, and WASH Related Education Intervention to Address Malnutrition of Early Adolescents in Pakistan
|
N/A | |
| Recruiting |
NCT05417672 -
Assessment of Relationship Between Preoperative Nutritional Status and Perioperative/Postoperative Conditions in Patients With Lung Cancer Scheduled for Lobectomy
|
||
| Recruiting |
NCT05257980 -
Evaluation of Four New Ready to Drink Oral Nutritional Supplements: Adult ONS Trial
|
N/A | |
| Completed |
NCT03628196 -
A Nutrition-Focused QIP in Outpatient Clinics
|
||
| Completed |
NCT05015647 -
Low Protein Diet in CKD Patients at Risk of Malnutrition
|
N/A | |
| Enrolling by invitation |
NCT04675229 -
Extending the Validation of SCREEN to Persons Living With Dementia or in Retirement Homes
|
||
| Recruiting |
NCT04627376 -
Multimodal Program for Cancer Related Cachexia Prevention
|
N/A | |
| Not yet recruiting |
NCT06047054 -
Incidence Rate and Risk Factors of Malnutrition in ICU
|
||
| Not yet recruiting |
NCT05860556 -
Sustainable Eating Pattern to Limit Malnutrition in Older Adults
|
||
| Not yet recruiting |
NCT04183075 -
Impact of a Nutritional Supplement on the Recovery of the Nutritional Status of Patients With Spontaneous Hip Fracture
|
N/A | |
| Not yet recruiting |
NCT04398836 -
Preoperative Nutrition for Crohn's Disease Patients
|
Phase 3 | |
| Not yet recruiting |
NCT03150927 -
Clinical Study of Novel Probiotic Microbial Composite™ to Treat Undernourished Young Children
|
N/A | |
| Recruiting |
NCT02833740 -
Comparing Performance of Simplified Mid-Upper Arm Circumference Devices ("Click-MUACs") to Detect Acute Malnutrition
|
N/A | |
| Recruiting |
NCT03408067 -
Evaluation of the Efficacy of Nutritional Risk Screening Tests, NRS 2002 and SGA, to Identifying Malnourished Patients
|
N/A | |
| Completed |
NCT02938247 -
Tolerance and Compliance of a High Caloric, High Protein Oral Nutritional Supplement - Scheduled Intake
|
N/A | |
| Completed |
NCT02938234 -
Tolerance and Compliance of a High Caloric, High Protein Oral Nutritional Supplement - Free Intake
|
N/A |