An Email Intervention to Prevent Iatrogenic Malnutrition in the ICU

NCT02277535 | Completed

• 1 other identifier: 2014P001702
• Study Type: interventional
• Target: 197
• Locations: 0 countries
• Sites: N/A

Brief Summary

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

Conditions

Malnutrition

Keywords

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

Outcome Measures

Primary Outcomes (1)

• Patients started on nutrition within 72 h of ICU admission

  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

  After completing the intervention for each ICU (2 months)

Study Arms (2)

E-mail intervention

EXPERIMENTAL

ICU clinicians caring for patients who have not yet been initiated on nutrition 48 hours after ICU admission will receive a reminder email. ICU clinicians caring for patients who accumulate a caloric deficit greater than 4000 calories or 150 g protein deficit will receive a feedback email

Other: Feedback/Reminder email.

No E-mail intervention

NO INTERVENTION

Nutrition status of patients will be assessed but no reminder or feedback emails will be sent

Interventions

Feedback/Reminder email. OTHER

E-mail intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• Massachusetts General Hospital: lead

MeSH Terms

Conditions

Malnutrition

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Trauma and Critical Care Surgeon

Study Record Dates

• First Submitted: October 27, 2014
• First Posted: October 29, 2014
• Study Start: December 1, 2014
• Primary Completion: April 1, 2015
• Study Completion: April 1, 2015
• Last Updated: February 2, 2017

Record last verified: 2017-01