An Email Intervention to Prevent Iatrogenic Malnutrition in the ICU

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02277535

Enrollment

197

Registered

2014-10-29

Start date

2014-12-31

Completion date

2015-04-30

Last updated

2017-02-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Malnutrition

Keywords

Malnutrition in the ICU (caloric deficit >4000 kcal or 150 g protein deficit) or >48hrs of admission without receiving nutrition

Brief summary

This is a quality improvement research project evaluating if a targeted feedback email to clinicians impacts their nutrition delivery in the ICU.

Detailed description

This prospective study looks to determine if a targeted email to clinicians taking care of critically ill patients will allow reduce malnutrition in the Intensive Care Units (ICU). Four ICUs will be included: medical ICU (MICU), coronary care unit (CCU) and two surgical ICUs. The investigators will rotate a 2 month period intervention amongst the aforementioned participating ICUs and follow simultaneous cohorts to evaluate the effect of our intervention (email feedback to treating clinicians) on nutrition delivery in the ICU. After the completion of the intervention, there will be a six-month follow-up of nutritional adequacy to assess the durability of changes in behavior.

Interventions

OTHERFeedback/Reminder email.

Study design

Allocation

RANDOMIZED

Intervention model

CROSSOVER

Primary purpose

PREVENTION

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Clinicians taking care of patients admitted to the ICU within the past 48hrs * Clinicians taking care of patients in whom enteral nutrition is prescribed

Exclusion criteria

* Clinicians taking care of patients in whom enteral nutrition is not prescribed.

Design outcomes

Primary

Measure	Time frame	Description
Patients started on nutrition within 72 h of ICU admission	After completing the intervention for each ICU (2 months)	The ICU admission date and EN initiation date will be collected in a data base which will later be analyzed to assess the percentange of patients initiated on EN within 72 hours of admission to the ICU. This will be reported as rates and will be compared amongst intervention and no-intervention arms using Fisher's Exact test or Chi-sq Test

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026