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This cluster-randomized trial will evaluate the impact of a multifaceted intervention (including electronic medical alerts) coordinated by a Nutritional Support Team, on adherence to recommended practices for care of starved children, among health personnel of a large university hospital. A key component of the study is to assess whether improved adherence to guidelines leads to a reduction in rates of complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nutritional Support Team | Experimental |
| |
| Usual care | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Access to a Computerized Clinical Decision Support System (CCDDS) | Procedure | Automatic CCDSS will alert physician for each case of malnourished using an algorithm based on age, sex, weight and size of each hospitalized children. |
| Measure | Description | Time Frame |
|---|---|---|
| Adherence to recommended practices (including weigh in, physiotherapy, nutrition survey and monitoring) | At least 2 days depending on the hospitalisation time |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of complications | At least 2 days depending on the hospitalisation time | |
| Nutritional status evolution | At least 2 days depending on the hospitalisation time | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Noël PERETTI, MD, PhD | Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant (Bron, France) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospices Civils de Lyon (HCL) - Hôpital Femme-Mère-Enfant | Bron | 69677 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23517767 | Result | Touzet S, Duclos A, Denis A, Restier-Miron L, Occelli P, Polazzi S, Betito D, Gamba G, Cour-Andlauer F, Colin C, Lachaux A, Peretti N; PREDIRE Study Group. Multifaceted intervention to enhance the screening and care of hospitalised malnourished children: study protocol for the PREDIRE cluster randomized controlled trial. BMC Health Serv Res. 2013 Mar 22;13:107. doi: 10.1186/1472-6963-13-107. | |
| 25649237 |
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| ID | Term |
|---|---|
| D009748 | Nutrition Disorders |
| D044342 | Malnutrition |
| ID | Term |
|---|---|
| D009750 | Nutritional and Metabolic Diseases |
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| Education of Healthcare workers | Behavioral | Education of the hospital staff to evidence-based practices in malnutrition care will be proposed in the experimental arm. Specific training will be targeted on participants according to their function. |
|
| Local assistance by a dietician | Other | Assistance will be conducted locally by a local dietician. Periodic multidisciplinary meetings will be attended by the hospital staff belonging to the intervention arm, including the analysis of clinical incidents related to nutrition care. |
|
| Mean length and cost of stay |
| At least 2 days depending on the hospitalisation time |
| Appropriate call-in Nutritional Support Team | At least 2 days depending on the hospitalisation time |
| Result |
| Duclos A, Touzet S, Restier L, Occelli P, Cour-Andlauer F, Denis A, Polazzi S, Colin C, Lachaux A, Peretti N; PREDIRE Study Group. Implementation of a computerized system in pediatric wards to improve nutritional care: a cluster randomized trial. Eur J Clin Nutr. 2015 Jul;69(7):769-75. doi: 10.1038/ejcn.2014.288. Epub 2015 Feb 4. |