No registrations found.
ID
Source
Brief title
Health condition
Disease related malnutrition in hospital patients.
Sponsors and support
Intervention
Outcome measures
Primary outcome
1. Costs;
2. Length of hospital stay;
3. Percentage of malnourished patients who are diagnosed correctly.
Secondary outcome
1. Care complexity;
2. Quality of life;
3. Body composition.
Background summary
Patients and outcome measures.
The intervention group consisted of a group of 297 patients on two mixed medical - surgical wards, receiving screening on malnutrition at admission and standardized nutritional care. The control (comparable group of 291 patients) received usual clinical care.
Outcome measures were weight change, use of supplemental drinks, tube feeding, parenteral nutrition and in-between meals, number of consultations by the dietician and length of hospital stay.
Results:
The recognition of malnutrition improved from 50% to 80%. The standardized nutritional care protocol added approximately 600 kcal and 12 grams of protein to the daily intake of the malnourished. Early screening and treatment of malnourished patients reduced the length of hospital stay in malnourished patients with low handgrip strength (frail patients).
To shorten the mean length of hospital stay with one day in the total malnourished group, a mean investment of EUR 76 (63 USD) in nutritional screening and treatment was needed. In the total group and in the sub-group of malnourished patients with low handgrip strength the incremental costs were comparably low.
Conclusion:
Application of the SNAQ screening and early, standardized nutritional care improves the recognition of malnourished patients and gives the opportunity to start treatment at an early stage of hospitalization.
The additional costs of early nutritional care were low, especially in a sub-group of frail malnourished patients.
Study objective
1. The recognition of malnourished inpatients will improve by using the SNAQ malnutrition screening tool at admission;
2. Early recognition and treatment of malnutrition is effective and cost effective.
Study design
N/A
Intervention
Early screening and treatment of malnourished hospital patients.
The intervention group consisted of a group of 297 patients on two mixed medical - surgical wards, receiving screening on malnutrition at admission and standardized nutritional care. The control (comparable group of 291 patients) received usual clinical care.
P.O. Box 7057
Hinke Kruizenga
Amsterdam 1007 MB
The Netherlands
H.Kruizenga@vumc.nl
P.O. Box 7057
Hinke Kruizenga
Amsterdam 1007 MB
The Netherlands
H.Kruizenga@vumc.nl
Inclusion criteria
1. Hospital patients;
2. Internal and sugical ward.
Exclusion criteria
Under the age of 18 years.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL173 |
| NTR-old | NTR210 |
| Other | : N/A |
| ISRCTN | ISRCTN92834544 |
Summary results
2. HM. Kruizenga, MW Van Tulder, JC Seidell, A Thijs, HJ Ader, MAE Van Bokhorst-de van der Schueren. Effectiveness and cost-effectiveness of early screening and treatment of malnourished patients. American Journal of Clinical Nutrition.<br>
3. HM. Kruizenga, P. e Jonge, J.C. Seidell, F. Neelemaat, AA. van Bodegraven, NJ. Wierdsma, M.A.E. van Bokhorst – de van der Schueren. Are malnourished patients complex patients? Eur. J of Internal Medicine, submitted.