Nutrition Support on Outcomes and Cost-effectiveness for Patients at Risk

NCT ID: NCT00289380

Last Updated: 2026-01-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

2000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2005-01-31

Study Completion Date

2040-01-31

Brief Summary

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1. The aim of this large scale study to survey the prevalence of nutritional risk and malnutrition in China,Europe and USA.
2. The impact of nutritional support for the patients at nutritional risk on clinical outcomes and cost-effectiveness

Already get the approval by Ethics Committee of Peking Union medical college and Johns Hopkins Hospital.

Detailed Description

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Although it was often to hear that malnutrition ratio in Aisa hospitalized patient was 40%-70% , there was no evidence to elaborate the prevalence of nutritional risk and malnutrition on hospitalized patients of Asia. Also in USA no data for nutritional risk. In 2002, scientists group headed by Kondrup from : European Society for Parenteral and Enteral Nutrition demonstrated that randomized controlled clinical trials showed patients may get benefit from nutrition support when they with nutrition risk. Based on these evidences, a simpler method was established by European Society for Parenteral and Enteral Nutrition in year 2002 in Munich \& it was demonstrated useful to evaluate the appropriate use of nutrition support at present time. This method was named as Nutrition Risk Screening (NRS).

We propose to survey the prevalence of malnutrition \& nutrition risk in large cities' large/middle size hospitalized patients in China, Europe and USA use NRS tool. As well, we also aim to figure out the current nutrition support status in current large/middle size hospitals through this survey.

we also propose to evaluate the cost-effectiveness of parenteral nutrition, enteral nutrition and non-nutritional support, and to examine the clinical outcomes of nutritional support in certain patients at nutritional risk identified by NRS-2002.

For international cooperation,our partners are Professor Kondrup of Europe and Professor Nolan from Johns Hopkins Hospital,there are students from a cooperative project with Johns Hopkins Hospital for Doctor of Philosophy students 2005-2011.

In plan this protocol might be completed around 2016 also.

Conditions

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Malnutrition Nutritional Risk

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Nutrition support

Nutrition support cohort means accept nutrition support,it was defined as ≥15kal/kg/d and \< 30kal/kg/d of non-protein calories (carbohydrate and/or fat) and amino acids or protein≥1g/kg/d for 5\~28 consecutive days.

No interventions assigned to this group

Without nutritional support

Group received only intravenous 5 to 10% glucose and electrolyte infusions

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* patients be in hospital overnight
* diagnoses according to the protocol of cohort study for cost effectiveness

Exclusion Criteria

* patients admitting from emergency department
* patients who undergone operation before second morning of hospitalization
* patients who dose not give Informed Consents
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking Union Medical College

OTHER

Sponsor Role lead

Responsible Party

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Zhu-ming Jiang

Professor of General Surgery,

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhu-ming Jiang, M.D., FACS

Role: STUDY_DIRECTOR

Peking Union Medical College Hospital

Locations

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Beijing Friendship Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status ACTIVE_NOT_RECRUITING

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status ACTIVE_NOT_RECRUITING

Beijing Chest Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status NOT_YET_RECRUITING

Chongqing Medical Univ. Hospital

Chongqing, Chongqing Municipality, China

Site Status COMPLETED

Xin Qiao Hospital

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

The First Affiliated Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

The First Affiliated Hospial, Guangxi Medical University

Nanning, Guangxi, China

Site Status RECRUITING

The First University Hospital, Hebei Medical University

Shijiazhuang, Hebei, China

Site Status RECRUITING

Nankai Hospital

Tianjin, Hebei, China

Site Status ACTIVE_NOT_RECRUITING

Tongji Hospital, Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

Nanjing General Hospital of Nanjing Military Command

Nanjing, Jiangsu, China

Site Status RECRUITING

Xin Hua Hospital, Shanghai Jiaotong University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Sixth Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

The First Affiliated Hospital, Xinjiang Medical University

Ürümqi, Xinjiang, China

Site Status ACTIVE_NOT_RECRUITING

Second Affiliated Hospital, Zhejiang University

Hangzhou, Zhejiang, China

Site Status ACTIVE_NOT_RECRUITING

Countries

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China

Central Contacts

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Zhu-Ming Jiang, M.D., FACS

Role: CONTACT

Kang Yu, M.S.

Role: CONTACT

+86 13801130457

Facility Contacts

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Zhuo Li

Role: primary

18186943979

Hua Yang, M.D.

Role: primary

+86 13668057773

Wen-hua Zhan, M.D.

Role: primary

+86 20 87755766

Ning Xia, M.D.

Role: primary

+86 771 5303201

Ru-mei Jia, M.D.

Role: primary

+86 311 85917000

Yi-ping Wu, M.D.

Role: primary

+86 27 62363420

Zhi-wei Jiang, M.D.

Role: primary

+86 25 84619727

Wei Cai, M.D.

Role: primary

+86 21 65790000

Huai-Long Qin, M.D.

Role: primary

References

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Jie B, Jiang ZM, Nolan MT, Efron DT, Zhu SN, Yu K, Kondrup J. Impact of nutritional support on clinical outcome in patients at nutritional risk: a multicenter, prospective cohort study in Baltimore and Beijing teaching hospitals. Nutrition. 2010 Nov-Dec;26(11-12):1088-93. doi: 10.1016/j.nut.2009.08.027. Epub 2009 Dec 5.

Reference Type DERIVED
PMID: 19963351 (View on PubMed)

Other Identifiers

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CMA2005CSPEN

Identifier Type: -

Identifier Source: org_study_id

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