An Email Intervention to Prevent Iatrogenic Malnutrition in the ICU

NCT ID: NCT02277535

Last Updated: 2017-02-02

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

COMPLETED

Clinical Phase

NA

Total Enrollment

197 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2015-04-30

Brief Summary

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

Detailed Description

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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.

Conditions

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Malnutrition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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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

Group Type EXPERIMENTAL

Feedback/Reminder email.

Intervention Type OTHER

No E-mail intervention

Nutrition status of patients will be assessed but no reminder or feedback emails will be sent

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Feedback/Reminder email.

Intervention Type OTHER

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Massachusetts General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Daniel Dante Yeh

Trauma and Critical Care Surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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2014P001702

Identifier Type: -

Identifier Source: org_study_id

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