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An Email Intervention to Prevent Iatrogenic Malnutrition in the ICU

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02277535
Recruitment Status : Completed
First Posted : October 29, 2014
Last Update Posted : February 2, 2017
Information provided by (Responsible Party):
Daniel Dante Yeh, Massachusetts General Hospital

Brief Summary:
This is a quality improvement research project evaluating if a targeted feedback email to clinicians impacts their nutrition delivery in the ICU.

Condition or disease Intervention/treatment Phase
Malnutrition Other: Feedback/Reminder email. Not Applicable

Detailed Description:
This prospective study looks to determine if a targeted email to clinicians taking care of critically ill patients will allow reduce malnutrition in the Intensive Care Units (ICU). Four ICUs will be included: medical ICU (MICU), coronary care unit (CCU) and two surgical ICUs. The investigators will rotate a 2 month period intervention amongst the aforementioned participating ICUs and follow simultaneous cohorts to evaluate the effect of our intervention (email feedback to treating clinicians) on nutrition delivery in the ICU. After the completion of the intervention, there will be a six-month follow-up of nutritional adequacy to assess the durability of changes in behavior.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 197 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: An Email Intervention to Prevent Iatrogenic Malnutrition in the ICU
Study Start Date : December 2014
Actual Primary Completion Date : April 2015
Actual Study Completion Date : April 2015

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Malnutrition

Arm Intervention/treatment
Experimental: E-mail intervention

ICU clinicians caring for patients who have not yet been initiated on nutrition 48 hours after ICU admission will receive a reminder email.

ICU clinicians caring for patients who accumulate a caloric deficit greater than 4000 calories or 150 g protein deficit will receive a feedback email

Other: Feedback/Reminder email.
No Intervention: No E-mail intervention
Nutrition status of patients will be assessed but no reminder or feedback emails will be sent

Primary Outcome Measures :
  1. Patients started on nutrition within 72 h of ICU admission [ Time Frame: After completing the intervention for each ICU (2 months) ]
    The ICU admission date and EN initiation date will be collected in a data base which will later be analyzed to assess the percentange of patients initiated on EN within 72 hours of admission to the ICU. This will be reported as rates and will be compared amongst intervention and no-intervention arms using Fisher's Exact test or Chi-sq Test

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Clinicians taking care of patients admitted to the ICU within the past 48hrs
  • Clinicians taking care of patients in whom enteral nutrition is prescribed

Exclusion Criteria:

  • Clinicians taking care of patients in whom enteral nutrition is not prescribed.
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Responsible Party: Daniel Dante Yeh, Trauma and Critical Care Surgeon, Massachusetts General Hospital Identifier: NCT02277535    
Other Study ID Numbers: 2014P001702
First Posted: October 29, 2014    Key Record Dates
Last Update Posted: February 2, 2017
Last Verified: January 2017
Keywords provided by Daniel Dante Yeh, Massachusetts General Hospital:
Malnutrition in the ICU (caloric deficit >4000 kcal or 150 g protein deficit) or >48hrs of admission without receiving nutrition
Additional relevant MeSH terms:
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Nutrition Disorders