Epidemiology and Management of Malnutrition of Patients Hospitalized at the Pitié-Salpêtrière Hospital: a One-day Survey Combined With Focus Groups (Mixed Methods)

Официальное название

Evaluate the Prevalence of Undernutrition in Adult Patients Hospitalized on a Given Day at the Pitié-Salpêtrière Hospital (PSL) According to HAS Criteria in 2019 (if Age <70 Years) and 2021 (if Age ≥ 70 Years)

Обзор

According to the literature, malnutrition affects between 30% and 50% of hospitalized patients. The most recent survey on the prevalence of malnutrition in hospitals in France dates back to 2003, and at the Pitié Salpêtrière Hospital to 2015. Malnutrition is a pathological process that can lead to complications for patients and prolong their length of stay. Main objective: Evaluate the prevalence of malnutrition in adult patients hospitalized on a given day at Pitié-Salpêtrière Hospital (PSL) according to HAS ( High Authority for Health) criteria for 2019 (if age \<70 years) and 2021 (if age ≥ 70 years).

Подробное описание

According to the literature, malnutrition affects between 30% and 50% of hospitalized patients. The most recent survey on the prevalence of malnutrition in hospitals in France dates back to 2003, and at the Pitié Salpêtrière Hospital to 2015. Malnutrition is a pathological process that can lead to complications for patients and prolong their length of stay.

Main objective: Evaluate the prevalence of malnutrition in adult patients hospitalized on a given day at Pitié-Salpêtrière Hospital (PSL) according to HAS (High Authority for Health) criteria for 2019 (if age \<70 years) and 2021 (if age ≥ 70 years).

Вмешательства

• Другое malnutrition questionary
  At the patient's bed, using a questionnaire, evaluators take anthropometric measurements (weight, height, muscle strength) and collect biological data (albumin, pre-albumin, CRP, if available in the medical record) to establish nutritional status according to HAS criteria for undernutrition 2019-2021 and 2003-2007.

Первичные конечные точки

• Prevalence of undernutrition diagnosed according to HAS 2019 and 2021 criteria on a given day in hospitalized PSL patients. [Срок оценки: 3 days]

Вторичные конечные точки (2)

• Compare the prevalence and the severity of undernutrition in hospitalized PSL patients according to the HAS criteria of 2019 (if age <70 years) and 2021 (if age ≥ 70 years) versus those of 2003 (if age <70 years) and 2007 (if age ≥ 70 years). [Срок оценки: 6 months]
• Evaluate the quality of nutritional management for malnourished patients hospitalized at PSL. Using PMSI coding, assess the value of activities associated with undernutrition in undernourished patients hospitalized at PSL. [Срок оценки: 6 months]

Критерии участия

Критерии включения

• Age ≥ 18 years
• Hospitalized for at least 2 days in a Pitié Salpêtrière department of the 8 selected DMUs.
• Patient informed and not objecting to participation in the study.

Критерии исключения

• Be hospitalized in a PRM, SMR, radiotherapy or adult psychiatry department
• Be hospitalized in an intensive care or resuscitation unit of the 8 selected DMU
• Be at the end of life, as determined by the referring clinician
• Have a communication barrier preventing the collection of declarative data
• Pregnancy in progress; 6. Patient under guardianship.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения

Когортное

Центры проведения

Франция · 1 центр

• Service de nutrition, Hôpital Pitié-Salpêtrière — Paris

Идентификаторы

NCT: NCT06317402 · APHP240133

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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