This cluster-randomized trial will evaluate the impact of a multifaceted intervention (including electronic medical alerts) coordinated by a Nutritional Support Team, on adherence to recommended practices for care of starved children, among health personnel of a large university hospital. A key component of the study is to assess whether improved adherence to guidelines leads to a reduction in rates of complications.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
1,457
Automatic CCDSS will alert physician for each case of malnourished using an algorithm based on age, sex, weight and size of each hospitalized children.
Education of the hospital staff to evidence-based practices in malnutrition care will be proposed in the experimental arm. Specific training will be targeted on participants according to their function.
Assistance will be conducted locally by a local dietician. Periodic multidisciplinary meetings will be attended by the hospital staff belonging to the intervention arm, including the analysis of clinical incidents related to nutrition care.
Hospices Civils de Lyon (HCL) - Hôpital Femme-Mère-Enfant
Bron, France
Adherence to recommended practices (including weigh in, physiotherapy, nutrition survey and monitoring)
Time frame: At least 2 days depending on the hospitalisation time
Incidence of complications
Time frame: At least 2 days depending on the hospitalisation time
Nutritional status evolution
Time frame: At least 2 days depending on the hospitalisation time
Mean length and cost of stay
Time frame: At least 2 days depending on the hospitalisation time
Appropriate call-in Nutritional Support Team
Time frame: At least 2 days depending on the hospitalisation time
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