NutritionDay in Worldwide Hospitals: An International Audit and Registry on Nutrition and Outcome

NCT02820246 | Unknown DMC

• 1 other identifier: 407/2005
• Study Type: observational
• Target: 250,000
• Locations: 1 country
• Sites: 1

Brief Summary

Malnutrition at hospital admission is a risk factor for an unfavourable outcome, prolonged hospital stay and delayed recovery. In these patients the incidence of complications such as nosocomial infections, poor ventilatory function, prolonged bed rest is increased. In addition a relevant proportion of patients have a nutritional intake below their needs during hospitalisation.Mortality has been shown to be up to 8 times higher and dependency at discharge up to 3 times more frequent when actual food intake was below 25% of calculated needs. The aim of this international cross-sectional multicentre audit and registry is to generate a risk and level of nutritional intervention profile for an individual unit/ward based on case-mix, nutrition care and available structures. This profile should give a snapshot on the relation of risk to resource allocation. The audit is unit centered. Each unit gets as a feedback anonymously its position compared with all other participating units. Risk adjustment for selected patient groups, social environments and structures is planned. In conclusion this audit/registry will serve five distinct aims:

• Generate a precise map of the prevalence of malnutrition before admission and of decreased nutrient intake according to risk factors, medical specialty, organisational structures and countries.
• Increase in awareness for clinical nutrition in patients, caregiver and hospital managers.
• Enlarge and maintain a reference database for hospitalised patients
• Provide individual unit benchmarking

Conditions

Malnutrition

Keywords

nutrition assessment; nutrition therapy; nutrition surveys; patient outcome assessment; outcome and process assessment; benchmarking; risk assessment; scoring system

Outcome Measures

Primary Outcomes (1)

• mortality in hospital (hospital cohort)

  date of death within 30 days of sampling day

  30 days

Secondary Outcomes (1)

• length of hospital stay

  30 days

Study Arms (1)

hospitalised patients

all patients present in a hospital ward during the morning shift

Other: nutrition

Interventions

nutrition OTHER

type and amount of food eaten or type of oral nutritional supplements as well as enteral or parenteral nutrition

Also known as: hospital food, oral protein energy supplements, enteral nutrition, parenteral nutrition

hospitalised patients

Eligibility Criteria

• Age: 6 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All patients hospitalised on a given day in hospital wards.

You may qualify if:

• All patients hospitalized in a given ward and present within the unit from 7H00 to 19H00 (e.g.) during the first nursing shift of the nutritionDay (one given day per year), including admissions and discharges within the period.
• Questionnaire especially dedicated to children and young adults are provided for patients aged 7-17. Questionnaires for children can be completed by the patients themselves or by a legal guardian.
• Patients may accept to participate only for the medical documentation part from the caregiver sheet (sheet 2) and individual patient outcome (sheet 4), but refuse to fill the individual patient questionnaire (sheet 3).

You may not qualify if:

• Patient with an age \< 6 a.
• Patients unable to understand and answer questions because none of the 31 available languages is understood for the hospital cohort.
• Patient's refusal to answer the patient specific questionnaire or refusal of medical data use for auditing and research.
• Patients admitted and discharged during the same calendar day.

Sponsors & Collaborators

• Medical University of Vienna: lead
• European Society for Clinical Nutrition and Metabolism: collaborator
• Austrian Society for Clinical Nutrition: collaborator

Study Sites (1)

Medical University Vienna, CEMSIIS

Vienna, 1090, Austria

RECRUITING

Related Publications (9)

• Frantal S, Pernicka E, Hiesmayr M, Schindler K, Bauer P. Length bias correction in one-day cross-sectional assessments - The nutritionDay study. Clin Nutr. 2016 Apr;35(2):522-527. doi: 10.1016/j.clnu.2015.03.019. Epub 2015 Apr 7.

  PMID: 25912233 BACKGROUND

• Hiesmayr M, Schindler K, Pernicka E, Schuh C, Schoeniger-Hekele A, Bauer P, Laviano A, Lovell AD, Mouhieddine M, Schuetz T, Schneider SM, Singer P, Pichard C, Howard P, Jonkers C, Grecu I, Ljungqvist O; NutritionDay Audit Team. Decreased food intake is a risk factor for mortality in hospitalised patients: the NutritionDay survey 2006. Clin Nutr. 2009 Oct;28(5):484-91. doi: 10.1016/j.clnu.2009.05.013. Epub 2009 Jul 1.

  PMID: 19573957 RESULT

• Schindler K, Pernicka E, Laviano A, Howard P, Schutz T, Bauer P, Grecu I, Jonkers C, Kondrup J, Ljungqvist O, Mouhieddine M, Pichard C, Singer P, Schneider S, Schuh C, Hiesmayr M; NutritionDay Audit Team. How nutritional risk is assessed and managed in European hospitals: a survey of 21,007 patients findings from the 2007-2008 cross-sectional nutritionDay survey. Clin Nutr. 2010 Oct;29(5):552-9. doi: 10.1016/j.clnu.2010.04.001.

  PMID: 20434820 RESULT

• Lainscak M, Farkas J, Frantal S, Singer P, Bauer P, Hiesmayr M, Schindler K. Self-rated health, nutritional intake and mortality in adult hospitalized patients. Eur J Clin Invest. 2014 Sep;44(9):813-24. doi: 10.1111/eci.12300.

  PMID: 25039263 RESULT

• Hiesmayr M, Frantal S, Schindler K, Themessl-Huber M, Mouhieddine M, Schuh C, Pernicka E, Schneider S, Singer P, Ljunqvist O, Pichard C, Laviano A, Kosak S, Bauer P. The Patient- And Nutrition-Derived Outcome Risk Assessment Score (PANDORA): Development of a Simple Predictive Risk Score for 30-Day In-Hospital Mortality Based on Demographics, Clinical Observation, and Nutrition. PLoS One. 2015 May 22;10(5):e0127316. doi: 10.1371/journal.pone.0127316. eCollection 2015.

  PMID: 26000634 RESULT

• Cereda E, Klersy C, Hiesmayr M, Schindler K, Singer P, Laviano A, Caccialanza R; NutritionDay Survey Collaborators. Body mass index, age and in-hospital mortality: The NutritionDay multinational survey. Clin Nutr. 2017 Jun;36(3):839-847. doi: 10.1016/j.clnu.2016.05.001. Epub 2016 May 15.

  PMID: 27236599 RESULT

• Moick S, Hiesmayr M, Mouhieddine M, Kiss N, Bauer P, Sulz I, Singer P, Simon J. Reducing the knowledge to action gap in hospital nutrition care - Developing and implementing nutritionDay 2.0. Clin Nutr. 2021 Mar;40(3):936-945. doi: 10.1016/j.clnu.2020.06.021. Epub 2020 Jul 2.

  PMID: 32747205 DERIVED

• Moick S, Simon J, Hiesmayr M. Nutrition care quality indicators in hospitals and nursing homes: A systematic literature review and critical appraisal of current evidence. Clin Nutr. 2020 Jun;39(6):1667-1680. doi: 10.1016/j.clnu.2019.07.025. Epub 2019 Aug 7.

  PMID: 31447247 DERIVED

• Schindler K, Themessl-Huber M, Hiesmayr M, Kosak S, Lainscak M, Laviano A, Ljungqvist O, Mouhieddine M, Schneider S, de van der Schueren M, Schutz T, Schuh C, Singer P, Bauer P, Pichard C. To eat or not to eat? Indicators for reduced food intake in 91,245 patients hospitalized on nutritionDays 2006-2014 in 56 countries worldwide: a descriptive analysis. Am J Clin Nutr. 2016 Nov;104(5):1393-1402. doi: 10.3945/ajcn.116.137125. Epub 2016 Oct 12.

  PMID: 27733401 DERIVED

Related Links

• official registry website

MeSH Terms

Conditions

Malnutrition

Interventions

Nutritional Status; Food Service, Hospital; Enteral Nutrition; Parenteral Nutrition

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

Nutritional Physiological Phenomena; Diet, Food, and Nutrition; Physiological Phenomena; Health Status; Demography; Population Characteristics; Food Services; Food Industry; Industry; Technology, Industry, and Agriculture; Hospital Departments; Hospital Administration; Health Facility Administration; Health Facilities; Health Care Facilities Workforce and Services; Dietary Services; Health Services; Organization and Administration; Health Services Administration; Feeding Methods; Therapeutics; Nutritional Support; Nutrition Therapy

Study Officials

• Michael J Hiesmayr, MD, MSc

  Medical University of Vienna

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Michael J Hiesmayr, MD, MSc

CONTACT

+436645321805; michael.hiesmayr@meduniwien.ac.at

Silvia Tarantino, Dr

CONTACT

+436805524917; office@nutritionday.org

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Target Duration: 30 Days
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Anesthesia and Intensive Care

Study Record Dates

• First Submitted: June 27, 2016
• First Posted: June 30, 2016
• Study Start: January 1, 2006
• Primary Completion: June 1, 2025
• Study Completion: June 1, 2025
• Last Updated: February 24, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF
• Time Frame: 1 month
• Access Criteria: submission of a research proposal and approval by the scientific committee of nutritionDay as well as a data sharing contract according to Medical University Legal Department

Locations

AU (1)