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.
ID
Bron
Verkorte titel
Aandoening
Disease related malnutrition in hospital patients.
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
1. Costs;<br>
2. Length of hospital stay; <br>
3. Percentage of malnourished patients who are diagnosed correctly.
Achtergrond van het onderzoek
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.
Doel van het onderzoek
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.
Onderzoeksopzet
N/A
Onderzoeksproduct en/of interventie
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.
Algemeen / deelnemers
P.O. Box 7057
Hinke Kruizenga
Amsterdam 1007 MB
The Netherlands
H.Kruizenga@vumc.nl
Wetenschappers
P.O. Box 7057
Hinke Kruizenga
Amsterdam 1007 MB
The Netherlands
H.Kruizenga@vumc.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
1. Hospital patients;
2. Internal and sugical ward.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
Under the age of 18 years.
Opzet
Deelname
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL173 |
| NTR-old | NTR210 |
| Ander register | : N/A |
| ISRCTN | ISRCTN92834544 |
Samenvatting resultaten
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.