Hospitalized Patient, Malnutrition
Conditions
Brief summary
The aim of this study is to identify the risk of malnutrition in patients admitted to the Internal Medicine departments using the MUST screening tool. Additional aspects are to evaluate malnourished patients' characteristics and effectiveness of an early nutritional programme started during hospitalization.
Detailed description
Malnutrition is defined as a nutritional state characterized by an excess or deficient intake of nutrients. This condition may result in a change in body composition and in organic disfunctions. Malnutrition in hospitalized patients is a condition prevalent worldwide affecting between 20% and 50% of patients at admission, with further increase expected during hospitalization. Patients hospitalized in internal medicine departments are frequently older with multimorbidity and polypharmacy, so very likely to be malnourished, but the prevalence and determinants of malnutrition remain unclear. In AMIDO study, all patients with MUST 1 and 2 will be sent to the a dietitian. The clinician will act on the patient's characteristics by providing different dietary therapies, such as oral nutritional supports (ONS), extra nutritional cares, diet changes without supplements and artificial nutrition.
Interventions
OTHERNutritional intervention
Diet changes with different dietary therapies, such as oral nutritional supports (ONS), extra nutritional cares, diet changes without supplements and artificial nutrition.
Sponsors
Azienda Sanitaria Locale di Alessandria
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* Patients admitted from 1st January 2023 to 31th May 2023 at the Internal Medicine Department of the Monsignor Giovanni Galliano Hospital in Acqui Terme of the Alessandria ASL.
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Risk of malnutrition | Before the intervention (Baseline/T0) and at the hospital discharge, an average of 8 days after (Final/T1) | Assessment of patients' risk of malnutrition on admission through the MUST questionnaire. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical conditions and malnutrition | Before the intervention (Baseline/T0) and at the hospital discharge, an average of 8 days after (Final/T1) | Correlation between clinical outcomes of enrolled patients and level of malnutrition on admission, measured by MUST questionnaire |
| Gender and malnutrition | Before the intervention (Baseline/T0) and at the hospital discharge, an average of 8 days after (Final/T1) | Correlation between gender of enrolled patients and nutritional status at the time of admission, measured by MUST questionnaire |
Countries
Italy
Outcome results
None listed