AzTrials
AzTrials

Nutritional StatusNCT03606603

Nutrition Insights Day Asia

An observational study of Nutritional Status and Malnutrition, run by Fresenius Kabi at 89 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is an observational, cross-sectional study to be conducted on the Nutrition Insights Day (NID), with retrospective review of patient medical charts. No prospective follow-up period is considered. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Nutritional Status, Malnutrition, Caloric Deficit
How many people
590 participants
Where
89 sitesin 7 countries
Study dates
15 Mar 2019to 28 Jun 2019
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Adult patients after elective major abdominal gastrointestinal surgery with pre-existing malnutrition or who are at significant risk for malnutrition or nutrition-related complications, with indications for nutritional support

Who may be able to join

  • Adult patients after elective major abdominal gastrointestinal surgery [i.e. elective major GI resections, partial or total, especially for cancer, including: esophagectomy, gastrectomy, enterectomy (small bowel resection), colectomy, hepatectomy, pancreatectomy, resections for gall bladder or bile duct cancer (cholangiocarcinoma)] with pre-existing malnutrition or who are at significant risk for malnutrition or nutrition-related complications*, with indications for nutritional support
  • Hospitalization on SICU or major surgical ward on the NID
  • Use of EN (nutritional intake provided via tube feeding) and/or PN for at least one day before the NID
  • If patient received oral nutrition (ON) or oral nutrition supplements (ONS) during the observational phase from day -5 to day -2, complete and reliable data of daily caloric and protein intake is available
  • Latest surgical intervention ≤ 10 days before NID

Who cannot join

  • Patients with burn injuries
  • Patients requiring postsurgical mechanical ventilation and sedation on the NID
  • Patients receiving ON and/or ONS at any quantity on the day before the NID
  • Patients requiring emergency procedures

Trial locations and contacts

89 sites in 7 countries.

89 sites in 7 countries

India27 sites
  • Manipal Hospital

    Bangalore

  • Bombay Hospital

    Bombay

  • Apollo Hospitals

    Chennai

  • SIMS (SRM Institutes for Medical Science)

    Chennai

  • G. Kuppuswamy Naidu Memorial Hospital

    Coimbatore

  • Max Super Speciality Hospital

    Dehli

  • Sir Ganga Ram Hospital

    Dehli

  • AMRI Hospital

    Dhakuria

  • Fortis Memorial Research Institute

    Gūrgaon

  • Medanta Medicity Hospital

    Gūrgaon

  • Care Hospital

    Hyderabad

  • Rukmani Birla Hospital, A Unit of CMRI

    Jaipur

  • Rukmani Birla Hospital

    Jaipur

  • Apollo Gleneagles Hospitals Ltd.

    Kolkata

  • Dayanand Medical College and Hospital

    Ludhiana

  • Fortis Hospital

    Mohali

  • Max Superspecialty Hospital

    Mohali

  • B. Y. L. Nair Charitable Hospital & Topiwala National Medical College

    Mumbai

  • S.L Raheja - A Fortis Associate Hospital

    Mumbai

  • BLK Super Specialty Hospital

    New Delhi

  • Jawaharlal Institute Of Post Graduate Medical Education Medical Education and Research (JIPMER)

    Puducherry

  • Deenanath Mangeshkar Hospital

    Pune

  • Ruby Hall Clinic

    Pune

  • Krishna Institute of Medical Sciences

    Secunderabad

  • Surat Institute of Digestive Sciences

    Sūrat

  • Geetanjali Medical College

    Udaipur

  • Christian Medical College & Hospital

    Vellore

Other trials in India

Philippines18 sites
  • Capitol University Medical Center

    Cagayan de Oro

  • Cebu Doctors University Hospital

    Cebu City

  • Perpetual Succour Hospital

    Cebu City

  • De La Salle University Medical Center

    Dasmariñas

  • Southern Philippines Medical Center

    Davao City

  • Makati Medical Center

    Makati City

  • Asian Hospital and Medical Center

    Manila

  • Dr. Jose R.Reyes Memorial Medical Center

    Manila

  • Manila Doctors Hospital

    Manila

  • Philippine General Hospital

    Manila

  • St. Luke's Medical Center Global City

    Manila

  • University of Santo Tomas

    Manila

  • The Medical City

    Pasig

  • East Avenue Medical Center

    Quezon City

  • National Kidney and Transplant Institute

    Quezon City

  • Quirino Memorial Medical Center

    Quezon City

  • St. Luke's Medical Center

    Quezon City

  • Jose B.Lingad Memorial Regional Memorial Hspl

    San Fernando City

Other trials in Philippines

Thailand10 sites
  • Bhumibol Adulyadej Hospital

    Bangkok

  • King Chulalongkorn Memorial Hospital

    Bangkok

  • Rajavithi Hospital

    Bangkok

  • Ramathibodi Hospital

    Bangkok

  • Srinakarin Hospital

    Bangkok

  • Thammasat University Hospital

    Bangkok

  • Maharaj Nakorn Chiang Mai Hospital

    Chiang Mai

  • Songkla Nakarin Hospital

    Hat Yai

  • Siriraj Hospital

    Phuket

  • Surin Hospital

    Surin

Other trials in Thailand

Indonesia9 sites
  • Cipto Mangunkusumo Hospital

    Jakarta

  • Dharmais Cancer Center

    Jakarta

  • Rumah Sakit Persahabatan

    Jakarta

  • Siloam Hospitals Kebon Jeruk

    Jeruk

  • Kariadi Hospital

    Semarang

  • Telogorejo Hospital

    Semarang

  • Mitra Keluarga Waru Hospital

    Waru

  • Bethesda Hospital

    Yogyakarta

  • Sardjito Hospital

    Yogyakarta

Other trials in Indonesia

South Korea9 sites
  • Daegu Catholic University Medical Center

    Daegu

  • Keimyung University Dongsan Hospital

    Daegu

  • National Cancer Center

    Goyang-si

  • Chungnam National University Hospital

    Jungnam

  • Seoul National University Bundang Hospital

    Seoul

  • Seoul National University Hospital

    Seoul

  • Sungkunkwan University Samsung Medical Center

    Seoul

  • The Catholic University of Korea, Seoul St. Mary's Hospital

    Seoul

  • Ulsan University Hospital, Asan Medical Center

    Ulsan

Other trials in South Korea

Taiwan9 sites
  • Changhua Christian Medical Foundation Changhua Christian Hospital

    Chang-hua

  • Chang Gung Memorial Hospital- Kaoshiung Branch

    Kaohsiung City

  • E-DA Hospital

    Kaohsiung City

  • Kaohsiung Veterans General Hospital

    Kaohsiung City

  • Chang Gung Memorial Hospital

    Linkou District

  • Chung Shan Medical University Hospital

    Taichung

  • Taichung Veterans General Hospital

    Taichung

  • National Taiwan University Hospital

    Taipei

  • Taipei Veterans General Hospital

    Taipei

Other trials in Taiwan

Vietnam7 sites
  • 108 Military Central Hospital

    Hanoi

  • Bach Mai Hospital

    Hanoi

  • Cho Ray Hospital

    Ho Chi Minh City

  • HCM city University Medical Center

    Ho Chi Minh City

  • People's Hospital 115

    Ho Chi Minh City

  • Thong Nhat Hospital

    Ho Chi Minh City

  • Hue Central Hospital

    Huế

Other trials in Vietnam

About this study

Official title: Nutrition Insights Day Asia to Assess Hospital Malnutrition and the Routine Use of Enteral and Parenteral Nutrition in Patients Following Major Gastrointestinal Surgery

This is an observational, cross-sectional study to be conducted on the Nutrition Insights Day (NID), with retrospective review of patient medical charts. No prospective follow-up period is considered.

This study aims to obtain a contemporary overview of the nutritional status, the use of EN and/or PN and the provision of calories and proteins in patients after major elective gastrointestinal surgery with existing malnutrition or at risk of hospital malnutrition in selected Asian countries.

Keywords
nutritional status, malnutrition, energy intake, protein intake, ICU, surgical ward, hospital, enteral nutrition, parenteral nutrition, nutrition
Medical subject headings
Malnutrition, Protein Deficiency, Hyperphagia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT03606603
Study groupRoleWhat they receive
Surgical patientsAdult patients after elective major abdominal gastrointestinal surgery with pre-existing malnutrition or who are at significant risk for malnutrition or nutrition-related complications, with indications for nutritional support

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of surgical patients with a caloric / protein deficit receiving EN and/or PN on the day before the NID in selected Asian countries.

    Caloric / protein deficit, i.e., difference between energy / protein target per day and actually administered energy/protein

    Measured: On the day before the Nutrition Insights Day (day -1)

Secondary outcomes (4)
  1. Absolute and relative caloric and protein balance

    Absolute and relative caloric and protein balance

    Measured: On the day before the Nutrition Insights Day (day -1)

  2. Distribution within subcategories of caloric / protein balance

    Distribution within subcategories of caloric / protein balance

    Measured: On the day before the Nutrition Insights Day (day -1)

  3. Cumulative (absolute/ relative) caloric and protein balance

    Cumulative (absolute/ relative) caloric and protein balance

    Measured: On the day before the Nutrition Insights Day (day -1)

  4. Categorical, absolute and relative caloric balance based on standardized target intake (sensitivity analysis)

    Categorical, absolute and relative caloric balance based on standardized

    Measured: On the day before the Nutrition Insights Day (day -1)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Jul 2018
  2. Study start15 Mar 2019
  3. Primary completion18 Jun 2019
  4. Study completion28 Jun 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Retrospective
Enrolment
590 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03606603
Sponsor's protocol ID
NScr-002-CNI
Status last verified
Jul 2019
First submitted
23 Jul 2018
Last updated
5 Jul 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Detsky AS, McLaughlin JR, Baker JP, Johnston N, Whittaker S, Mendelson RA, Jeejeebhoy KN. What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr. 1987 Jan-Feb;11(1):8-13. doi: 10.1177/014860718701100108.

    PubMed 3820522
  • Higashiguchi T, Arai H, Claytor LH, Kuzuya M, Kotani J, Lee SD, Michel JP, Nogami T, Peng N. Taking action against malnutrition in Asian healthcare settings: an initiative of a Northeast Asia Study Group. Asia Pac J Clin Nutr. 2017 Mar;26(2):202-211. doi: 10.6133/apjcn.022016.04.

    PubMed 28244696
  • Ho JW, Wu AH, Lee MW, Lau SY, Lam PS, Lau WS, Kwok SS, Kwan RY, Lam CF, Tam CK, Lee SO. Malnutrition risk predicts surgical outcomes in patients undergoing gastrointestinal operations: Results of a prospective study. Clin Nutr. 2015 Aug;34(4):679-84. doi: 10.1016/j.clnu.2014.07.012. Epub 2014 Aug 1.

    PubMed 25175758
  • Jia ZY, Yang J, Tong DN, Peng JY, Zhang ZW, Liu WJ, Xia Y, Qin HL. Screening of nutritional risk and nutritional support in general surgery patients: a survey from Shanghai, China. Int Surg. 2015 May;100(5):841-8. doi: 10.9738/INTSURG-D-14-00245.1.

    PubMed 26011204
  • Kondrup J, Rasmussen HH, Hamberg O, Stanga Z; Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003 Jun;22(3):321-36. doi: 10.1016/s0261-5614(02)00214-5.

    PubMed 12765673
  • Linthicum MT, Thornton Snider J, Vaithianathan R, Wu Y, LaVallee C, Lakdawalla DN, Benner JE, Philipson TJ. Economic burden of disease-associated malnutrition in China. Asia Pac J Public Health. 2015 May;27(4):407-17. doi: 10.1177/1010539514552702. Epub 2014 Oct 8.

    PubMed 25301845
  • Liu X, Xu P, Qiu H, Xu D, Li W, Zhan Y, Li Y, Chen Y, Zhou Z, Sun X. Preoperative Nutritional Deficiency Is a Useful Predictor of Postoperative Outcome in Patients Undergoing Curative Resection for Gastric Cancer. Transl Oncol. 2016 Dec;9(6):482-488. doi: 10.1016/j.tranon.2016.09.008. Epub 2016 Oct 24.

    PubMed 27788388
  • Nakahara S, Nguyen DH, Bui AT, Sugiyama M, Ichikawa M, Sakamoto T, Nakamura T. Perioperative nutrition management as an important component of surgical capacity in low- and middle-income countries. Trop Med Int Health. 2017 Jul;22(7):784-796. doi: 10.1111/tmi.12892. Epub 2017 Jun 13.

    PubMed 28510990
  • Norman K, Pichard C, Lochs H, Pirlich M. Prognostic impact of disease-related malnutrition. Clin Nutr. 2008 Feb;27(1):5-15. doi: 10.1016/j.clnu.2007.10.007. Epub 2007 Dec 3.

    PubMed 18061312
  • Sun Z, Kong XJ, Jing X, Deng RJ, Tian ZB. Nutritional Risk Screening 2002 as a Predictor of Postoperative Outcomes in Patients Undergoing Abdominal Surgery: A Systematic Review and Meta-Analysis of Prospective Cohort Studies. PLoS One. 2015 Jul 14;10(7):e0132857. doi: 10.1371/journal.pone.0132857. eCollection 2015.

    PubMed 26172830
  • Vallejo KP, Martinez CM, Matos Adames AA, Fuchs-Tarlovsky V, Nogales GCC, Paz RER, Perman MI, Correia MITD, Waitzberg DL. Current clinical nutrition practices in critically ill patients in Latin America: a multinational observational study. Crit Care. 2017 Aug 25;21(1):227. doi: 10.1186/s13054-017-1805-z.

    PubMed 28841885
  • Waitzberg DL, Caiaffa WT, Correia MI. Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients. Nutrition. 2001 Jul-Aug;17(7-8):573-80. doi: 10.1016/s0899-9007(01)00573-1.

    PubMed 11448575
  • Zhong JX, Kang K, Shu XL. Effect of nutritional support on clinical outcomes in perioperative malnourished patients: a meta-analysis. Asia Pac J Clin Nutr. 2015;24(3):367-78. doi: 10.6133/apjcn.2015.24.3.20.

    PubMed 26420176

Questions about this trial

What is this clinical trial studying?

An observational study of Nutritional Status and Malnutrition, run by Fresenius Kabi at 89 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 89 sites in India, Philippines, Thailand, Indonesia, South Korea and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of surgical patients with a caloric / protein deficit receiving EN and/or PN on the day before the NID in selected Asian countries. (time frame: On the day before the Nutrition Insights Day (day -1)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03606603, which also lists 13 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Jul 2019.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in