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NCT Number: NCT06317402

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

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).

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Key information

Conditions

Malnutrition Nutrition Disorders Nutritional and Metabolic Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Service de nutrition, Hôpital Pitié-Salpêtrière

Paris, France, 75013

Location status: Recruiting

Location contact

Pauline Faucher, Dr

CONTACT

[email protected]

01 42 17 57 71 ext. 33

About this study

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).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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.

Exclusion criteria

  • 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.

Treatment and study plan

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.

Primary outcomes

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

    Time frame: 3 days

    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.

Secondary outcomes

  1. 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).

    Time frame: 6 months

    Phase 1 : HAS malnutrition criteria 2019-2021 and 2003-2007.

  2. 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.

    Time frame: 6 months

    Phase 2 : The quality of nutritional management of malnourished patients will be assessed using several judgment criteria extracted from patient records in Orbis, for the sub-group of patients hospitalized on the given day and diagnosed as malnourished during the 1st evaluation phase. Phase 3: Transmission of the list of NIP.IPP codes for patients diagnosed as undernourished to the DIM (Département d'Information Médicale) team for extraction of codes for diagnosis of undernutrition and procedures associated with its management.

Study contacts

Contact information is provided by the study sponsor or research team.

Bastien GENET, Dr

CONTACT

[email protected]

01 42 16 02 37 ext. 33

Pauline Faucher, Dr

CONTACT

[email protected]

01 42 17 57 71 ext. 33

Sponsors and collaborators

Lead sponsor

Assistance Publique - Hôpitaux de Paris

Other

Registry information

Official study title

Evaluate the Prevalence of Undernutrition in Adult Patients Hospitalized on a Given Day at the Pitié-Salpêtrière Hospital (PSL) According to HAS Criteria in 2019 (if Age <70 Years) and 2021 (if Age ≥ 70 Years)

Acronym: EPIDENUT_PSL

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Mar 19, 2024
Registry last updated
Jul 3, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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