Unique ID issued by UMIN | UMIN000048350 |
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Receipt number | R000055103 |
Scientific Title | Patient outcomes and profits from the nutrition support team activities in a general hospital-ITA analysis |
Date of disclosure of the study information | 2022/09/01 |
Last modified on | 2023/07/16 16:58:26 |
Patient outcomes and profits from the nutrition support team activities in a general hospital-ITA analysis
Nutritional outcomes and profits produced by NST intervention
Patient outcomes and profits from the nutrition support team activities in a general hospital-ITA analysis
Nutritional outcomes and profits produced by NST intervention
Japan |
Adult inpatients with malnutrition
Medicine in general |
Others
NO
Nutritional support could improve hospitalized patients' nutritional status, reducing their long-term complications. The nutritional support team (NST) comprises multidisciplinary members who completed the prescribed training course, including physicians, nurses, dieticians, pharmacists, dentists, dental hygienists, clinical laboratory technicians, physical therapists, occupational therapists, and speech therapists. NST visits patients with nutritional risks in the wards weekly and supports their nutritional plan. NST activities could help reduce catheter-related infection, metabolic disorders, and inappropriate venous transfusions. In other words, NST interventions bring favorable effects on participants. However, the healthcare insurance system strictly limits the number of the insurance claim. Some NSTs lack human resources. These problems hinder efforts to increase participants in NST intervention.
On the other hand, NST activities indirectly influence the nutritional support of non-participants in the same wards. Still, there is no unified way of NST intervention. There is no report surveying the economic effect of NST activities on the wards. The main objective is to survey the total economic effect on the ward where NST intervenes on some inpatients by comparing before and after the intervention period.
Efficacy
Confirmatory
Pragmatic
Not applicable
Total profits are defined as a complete statement of medical expenses minus total expenses in the ward, including injections, medicine, and additional nutritional supplements per one inpatient for a half month.
Nutritional status is measured on participants of nutritional intervention to verify the effectiveness of NST activities. Nutritional status is evaluated with the circumference length of the upper arm, blood albumin, and body weight.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Self control
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
1
Treatment
Other |
Weekly NST's intervention (menu change, recommendation for changing medicine)
18 | years-old | <= |
120 | years-old | >= |
Male and Female
Nurses' subjective global assessment and/or physicians' consultation
Short term hospitalization less than 8 days
50
1st name | Naohi |
Middle name | |
Last name | Isse |
Okayama Kyoritsu General Hospital
General Medicine
7038511
8-10 Akasaka-Honmachi, Naka-ku, Okayama City
0862722121
issenaohi@yahoo.co.jp
1st name | Naohi |
Middle name | |
Last name | Isse |
Okayama Kyoritsu General Hospital
General Medicine
7038511
8-10 Akasaka-Honmachi, Naka-ku, Okayama City
0862722121
issenaohi@yahoo.co.jp
Okayama Kyoritsu General Hospital
Naohi Isse
Self funding
Self funding
NA
NA
Okayama Medical health Cooperation
8-10 Akasaka-Honmachi, Naka-ku, Okayama City
0862722121
tfujioka@mb.okaky.or.jp
NO
総合病院 岡山協立病院(岡山県)
2022 | Year | 09 | Month | 01 | Day |
Unpublished
Enrolling by invitation
2022 | Year | 04 | Month | 19 | Day |
2022 | Year | 04 | Month | 26 | Day |
2022 | Year | 10 | Month | 01 | Day |
2025 | Year | 04 | Month | 30 | Day |
2025 | Year | 04 | Month | 30 | Day |
2025 | Year | 04 | Month | 30 | Day |
2025 | Year | 07 | Month | 31 | Day |
2022 | Year | 07 | Month | 12 | Day |
2023 | Year | 07 | Month | 16 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000055103
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