Epidemiology and Management of Malnutrition of Patients Hospitalized at the Pitié-Salpêtrière Hospital: a One-day Survey Combined With Focus Groups (Mixed Methods)

NCT06317402 | Recruiting

• 1 other identifier: APHP240133
• Study Type: observational
• Target: 385
• Locations: 1 country
• Sites: 1

Brief Summary

According to the literature, malnutrition affects between 30% and 50% of hospitalized patients. The most recent survey on the prevalence of malnutrition in hospitals in France dates back to 2003, and at the Pitié Salpêtrière Hospital to 2015. Malnutrition is a pathological process that can lead to complications for patients and prolong their length of stay. Main objective: Evaluate the prevalence of malnutrition in adult patients hospitalized on a given day at Pitié-Salpêtrière Hospital (PSL) according to HAS ( High Authority for Health) criteria for 2019 (if age \<70 years) and 2021 (if age ≥ 70 years).

Conditions

Malnutrition

Keywords

malnutrition

Outcome Measures

Primary Outcomes (1)

• Prevalence of undernutrition diagnosed according to HAS 2019 and 2021 criteria on a given day in hospitalized PSL patients.

  The survey is conducted over 3 days due to : - The mobilization of medical and paramedical staff for the undernutrition screening phase is only possible over a limited period of time. - The patients to be assessed will be drawn at random from a list provided by the Admissions department ; the draw will then be carried out by the Public Health department (excluding the ORIGYNE DMU, the PRM and respiratory and neurorespiratory SSR departments, and the radiotherapy department (few hospitalizations lasting more than 24-48 hours)). In addition, it is important to specify that, if at the end of phase 1 of the survey, the auditor (dietician and/or doctor) finds that a patient is undernourished, the auditor will inform the department's referring doctor within 24 hours. The resulting treatment will be carried out by the referring dietician on the basis of a medical prescription.

  3 days

Secondary Outcomes (2)

• Compare the prevalence and the severity of undernutrition in hospitalized PSL patients according to the HAS criteria of 2019 (if age <70 years) and 2021 (if age ≥ 70 years) versus those of 2003 (if age <70 years) and 2007 (if age ≥ 70 years).

  6 months

• Evaluate the quality of nutritional management for malnourished patients hospitalized at PSL. Using PMSI coding, assess the value of activities associated with undernutrition in undernourished patients hospitalized at PSL.

  6 months

Study Arms (1)

patient

Adult patients hospitalized at Pitié Salpêtrière in conventional hospitalization wards

Other: malnutrition questionary

Interventions

malnutrition questionary OTHER

At the patient's bed, using a questionnaire, evaluators take anthropometric measurements (weight, height, muscle strength) and collect biological data (albumin, pre-albumin, CRP, if available in the medical record) to establish nutritional status according to HAS criteria for undernutrition 2019-2021 and 2003-2007.

patient

Eligibility Criteria

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

Study Population

Adult patients hospitalized at Pitié Salpêtrière in conventional hospitalization wards (medical and surgical wards)

You may qualify if:

• Age ≥ 18 years
• Hospitalized for at least 2 days in a Pitié Salpêtrière department of the 8 selected DMUs.
• Patient informed and not objecting to participation in the study.

You may not qualify if:

• Be hospitalized in a PRM, SMR, radiotherapy or adult psychiatry department
• Be hospitalized in an intensive care or resuscitation unit of the 8 selected DMU
• Be at the end of life, as determined by the referring clinician
• Have a communication barrier preventing the collection of declarative data
• Pregnancy in progress; 6. Patient under guardianship.

Sponsors & Collaborators

• Assistance Publique - Hôpitaux de Paris: lead

Study Sites (1)

Service de nutrition, Hôpital Pitié-Salpêtrière

Paris, France, 75013, France

RECRUITING

MeSH Terms

Conditions

Malnutrition

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases

Study Officials

• Pauline Faucher, Dr

  Assistance Publique - Hôpitaux de Paris

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Pauline Faucher, Dr

CONTACT

01 42 17 57 71; pauline.faucher@aphp.fr

Bastien GENET, Dr

CONTACT

01 42 16 02 37; bastien.genet@aphp.fr

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 2 Months
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 12, 2024
• First Posted: March 19, 2024
• Study Start: May 15, 2024
• Primary Completion: September 9, 2025
• Study Completion: September 9, 2025
• Last Updated: July 3, 2025

Record last verified: 2025-06

Locations

FR (1)