Malnutrition Clinical Characteristics Validation Study
| Status: | Completed |
|---|---|
| Conditions: | Food Studies |
| Therapuetic Areas: | Pharmacology / Toxicology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | April 2014 |
| End Date: | October 2015 |
Malnutrition (under-nutrition) occurs in approximately 30% of hospitalized adults worldwide
and results in poor outcomes. However there is no universal method for diagnosing
malnutrition. A group of experts created a set of 6 characteristics to identify
malnutrition. The goal of this project is to determine whether these characteristics are the
best indicators to identify malnutrition or if there are other factors that may better
identify malnutrition. Because there is no gold standard definition for malnutrition, the
investigators will compare the characteristics against outcomes such as length of stay,
hospital readmission and death. Outcomes are also influenced by disease state, therefore,
information on what brought the patient to the hospital and what happened to them in the
hospital will be collected that allows the investigators to separate the effect of
malnutrition from disease. The hypothesis for this study is that the malnutrition clinical
characteristics and diagnosis criteria, as presented by the experts, are valid and reliable
principles for the diagnosis of adult under-nutrition.
and results in poor outcomes. However there is no universal method for diagnosing
malnutrition. A group of experts created a set of 6 characteristics to identify
malnutrition. The goal of this project is to determine whether these characteristics are the
best indicators to identify malnutrition or if there are other factors that may better
identify malnutrition. Because there is no gold standard definition for malnutrition, the
investigators will compare the characteristics against outcomes such as length of stay,
hospital readmission and death. Outcomes are also influenced by disease state, therefore,
information on what brought the patient to the hospital and what happened to them in the
hospital will be collected that allows the investigators to separate the effect of
malnutrition from disease. The hypothesis for this study is that the malnutrition clinical
characteristics and diagnosis criteria, as presented by the experts, are valid and reliable
principles for the diagnosis of adult under-nutrition.
Inclusion Criteria:
- Patient on inpatient dietitian consult list
- Able to speak English to answer questions
- Ability to provide informed consent (or provided by family member)
- Expected remaining admission time > 24 hours (determined by no mention of pending
discharge in physicians notes)
- Age ≥ 18 years
Exclusion Criteria:
- Seen previously by Registered Dietitian during current admission
- Patient on hospice or palliative care, in a psychiatric, maternity, pediatric or day
surgery area, or in dedicated trauma or burn unit.
- Life expectancy <7 days per physician note or Registered Dietitian (RD) judgment
- Participated in the study during a previous admission
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