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The aim of this study is to identify the risk of malnutrition in patients admitted to the Internal Medicine departments using the MUST screening tool. Additional aspects are to evaluate malnourished patients' characteristics and effectiveness of an early nutritional programme started during hospitalization.
Malnutrition is defined as a nutritional state characterized by an excess or deficient intake of nutrients. This condition may result in a change in body composition and in organic disfunctions. Malnutrition in hospitalized patients is a condition prevalent worldwide affecting between 20% and 50% of patients at admission, with further increase expected during hospitalization. Patients hospitalized in internal medicine departments are frequently older with multimorbidity and polypharmacy, so very likely to be malnourished, but the prevalence and determinants of malnutrition remain unclear.
In AMIDO study, all patients with MUST 1 and 2 will be sent to the a dietitian. The clinician will act on the patient's characteristics by providing different dietary therapies, such as oral nutritional supports (ONS), extra nutritional cares, diet changes without supplements and artificial nutrition.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nutritional Intervention | Experimental | All patients with MUST 1 and 2 will be sent to the dietitian. The clinician will act on the patient's characteristics by providing different dietary therapies, such as oral nutritional supports (ONS), extra nutritional cares, diet changes without supplements and artificial nutrition. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nutritional intervention | Other | Diet changes with different dietary therapies, such as oral nutritional supports (ONS), extra nutritional cares, diet changes without supplements and artificial nutrition. |
| Measure | Description | Time Frame |
|---|---|---|
| Risk of malnutrition | Assessment of patients' risk of malnutrition on admission through the MUST questionnaire. | Before the intervention (Baseline/T0) and at the hospital discharge, an average of 8 days after (Final/T1) |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical conditions and malnutrition | Correlation between clinical outcomes of enrolled patients and level of malnutrition on admission, measured by MUST questionnaire | Before the intervention (Baseline/T0) and at the hospital discharge, an average of 8 days after (Final/T1) |
| Gender and malnutrition |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Paola Gnerre, MD | Azienda Sanitaria Locale di Alessandria (ASL AL) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Azienda Sanitaria Locale di Alessandria (ASL AL) | Alessandria | Piedmont | 15121 | Italy |
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| ID | Term |
|---|---|
| D044342 | Malnutrition |
| ID | Term |
|---|---|
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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Correlation between gender of enrolled patients and nutritional status at the time of admission, measured by MUST questionnaire |
| Before the intervention (Baseline/T0) and at the hospital discharge, an average of 8 days after (Final/T1) |