Impact of Estimated Weight and Height on Nutritional Assessment in Elderly

Официальное название

Accuracy of Estimated Weight and Height in Old Inpatients and Their Impact on Nutritional Assessment

Обзор

Recording the exact weight and height should represent a standard practice for all inpatients, as they significantly impact on patients' care, drug dosing and nutritional assessment. However, these measurements are recorded in a small percentage of inpatients and, even worse, they often are estimated by nurses or Physicians, or self-reported by patients. This error may contribute to a wrong nutritional assessment, since the body mass index (BMI) is one of the parameters included in some of the most used nutritional scores. In this study the investigators will perform a nutritional assessement, at hospital admission, in a group of inpatients by the mini-nutritional assessment short form (MNA-SF), by means of estimated, self-reported and exact body weight measures. Moreover, in those subjects with a malnutrition diagnosis (by MNA-SF) the investigators will perform bioimpedence analysis and will evaluate a series of anthropometric measurements offering insights into body composition and distribution of fat and muscle, such as calf, waist and hip circumference.

Вмешательства

• Диагностический тест Anthropometric and nutritional assessment
  Collection of self-reported weight and height, the exact measurement of weight and height with certified instruments, the administration of the MNA-SF questionnaire and the detection of body circumferences

Первичные конечные точки

• To assess the impact of discrepancies between estimated weight values reported in the medical record and those exactly measured [Срок оценки: At admission]
• To assess the impact of discrepancies between estimated height values reported in the medical record and those exactly measured [Срок оценки: At admission]
• Differences in MNA-SF scores [Срок оценки: At admission]

Вторичные конечные точки (1)

• Number of patients with a diagnosis of sarcopenia by both bioimpedance and anthropometric analysis [Срок оценки: At admission]

Критерии участия

Критерии включения

• Patients of both sexes with free and informed consent.
• Age 65 or older (in line with the World Health Organization definition and the recommendations of the ESPEN guidelines for geriatric nutritional assessment).

Критерии исключения

• Inability or unwillingness to provide informed consent.
• Severe cognitive impairment.
• Language or communication barriers.
• Clinical or logistical conditions that make objective measurement of weight and/or height impossible (e.g., non-transferable bedridden status, clinical instability, risk to the patient).
• Clinical judgment of unsuitability, at the discretion of the physician responsible for the study

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

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Не применимо

Модель

Одна группа

Маскирование

Открытое

Основная цель

Поддерживающая терапия

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07514572 · ID 8105

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗