The Impact of Denutrition on the Hospital Length of Stay for Patients Undergoing Rehabilitation

NCT02913846 | Completed

• 1 other identifier: CHUB-Nut-Reva
• Study Type: observational
• Target: 180
• Locations: 1 country
• Sites: 1

Brief Summary

Denutrition is defined as a measurable decrease in functions and/or as change in the body composition, associated with a worsening of the prognosis of the underlying medico-surgical pathology. It is induced by a deficiency in energy, proteins or any other micro or macronutrient and is the result of malnutrition, itself caused by a poor diet or a metabolic disorder. According to the National Nutrition and Health Plan for Belgium, denutrition is an independent risk factor for the increase of complications, morbidity and mortality rates, average length of hospitalisation and global medical care cost. It is necessary to invest in the prevention of denutrition as the costs of preventive measures are lower than the cost of treating a denutrished patient. The Belgian financing system of hospitalisation days is based on the structure of the treated pathologies, the age of the patient and the geriatric features of the patient. It encourages all hospitals to lower the length of hospitalisation to the national average for all these criteria. As a consequence, there is a mounting tendency to shorten the average length of stay within the hospital. The so-called 'Sp' hospital departments occupy a specific place within the organisation of Health Services in Belgium. They are specialized in the treatment and rehabilitation of patients with cardiopulmonary, neurological, locomotor, psycho-geriatric and chronic diseases. These services act as an extension of acute services (continuity of acute hospitalisation) but also as a first entry point for the medical care of patients with various specific diseases (multiple sclerosis, psycho-geriatric disorders, chronic pulmonary disorders...). The financing of the Sp departments is, as opposed to the financing of other departments, not linked to the patient length of stay. However, an increase in hospitalization duration decreases the rate of admissions and the possibility to accept patients coming from acute hospital units. The aim of the study is to evaluate the influence of denutrition of patients hospitalized in an Sp department on the length of revalidation stay, the associated costs and the patient's functional autonomy.

Conditions

Denutrition

Keywords

denutrition; hospital length of stay; patient's autonomy

Outcome Measures

Primary Outcomes (6)

• Barthel index score

  Assessment of patient autonomy

  within 48h of admission within the revalidation unit

• Nutritional Risk Screening score

  Nutritional state assessment

  within 48h of admission within the revalidation unit

• Body Mass Index

  once a week up to patient discharge (the average hospitalization length within the revalidation unit is 48 days)

• Weight

  once a week up to patient discharge (the average hospitalization length within the revalidation unit is 48 days)

• Hand prehension force

  performed on the right hand with a Jamart dynamometer

  once a week up to patient discharge (the average hospitalization length within the revalidation unit is 48 days)

• Pre-albumine level (mg/l)

  Laboratory testing

  once a week up to patient discharge (the average hospitalization length within the revalidation unit is 48 days)

Study Arms (1)

Hospital revalidation units

The study will take place within the CHU Brugmann hospital (Brussels) who has 4 revalidation units (104 beds). All patients coming within these units during the study duration will be included.

Other: Nutritional evaluation; Other: Muscular assessment; Other: Pre-albumine dosage

Interventions

Nutritional evaluation OTHER

A first nutritional evaluation will be performed within 48h of patient admission. Weight and BMI will be measured once a week.

Hospital revalidation units

Muscular assessment OTHER

An assessment of muscular force will be performed once a week.

Hospital revalidation units

Pre-albumine dosage OTHER

Dosage performed once a month.

Hospital revalidation units

Eligibility Criteria

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

Study Population

All patients admitted within a revalidation unit of the CHU Brugmann hospital

You may qualify if:

• All patients admitted within a revalidation unit of the CHU Brugmann hospital

You may not qualify if:

• Patients without programmed exit: transfer to another care unit, forced exit, death...

Sponsors & Collaborators

• Brugmann University Hospital: lead

Study Sites (1)

CHU Brugmann

Brussels, 1020, Belgium

Location

Related Publications (1)

• Alvarez-Hernandez J, Planas Vila M, Leon-Sanz M, Garcia de Lorenzo A, Celaya-Perez S, Garcia-Lorda P, Araujo K, Sarto Guerri B; PREDyCES researchers. Prevalence and costs of malnutrition in hospitalized patients; the PREDyCES Study. Nutr Hosp. 2012 Jul-Aug;27(4):1049-59. doi: 10.3305/nh.2012.27.4.5986.

  PMID: 23165541 BACKGROUND

Study Officials

• Samar Hatem, MD

  CHU Brugmann

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head of clinic

Study Record Dates

• First Submitted: September 14, 2016
• First Posted: September 26, 2016
• Study Start: March 18, 2016
• Primary Completion: September 12, 2017
• Study Completion: September 12, 2017
• Last Updated: January 23, 2018

Record last verified: 2018-01

Data Sharing

• IPD Sharing: Will not share

Locations

BE (1)