Cost Effectiveness of an Intervention in Hospitalized Patients With Disease-related Malnutrition
Pancreatitis, Acute, Crohn Disease, Ulcerative Colitis
About this trial
This is an interventional treatment trial for Pancreatitis, Acute focused on measuring disease-related malnutrition, effectiveness, cost effectiveness
Eligibility Criteria
Inclusion Criteria: Patients consecutively admitted to each center in their Digestive, Oncology or Surgery Services and that meet the inclusion criteria and none of the exclusion criteria
- . Pathologies to be included according to ICD 10 criteria : A-Digestive pathologies: acute pancreatitis, ulcerative colitis, Crohn's disease, Inflammatory bowel disease.
Pathologies to be included according to ICD 10 criteria : .-Oncological pathologies (surgery or admissions at follow up for oncologic patients): esophageal, gastric, colon and rectum cancers , pancreatic cancer, and ulcerative colitis and Crohn's disease admitted with surgical indication.
-. Patients older than 18 years and who are recruited in the first 48 hours after admission
- . Patients who sign the informed consent.
Exclusion Criteria:
- Patients with serious organic or psychopathological problems or in a terminal situation;
- Patients with neurosensory problems,
- Patients that do not understand the Spanish or Basque language,
- Patients that prevent them from giving their consent
- Patients unable to complete the questionnaires used in the study.
- Patients who are to have surgery by colon or rectum cancers detected by screening (not applicable if they are later admitted by complications of their oncological disease)
- Age under 18,
- Pregnancy,
- Admission to critical units,
- Admission to a short stay unit (<72 hours)
- Admission to a psychiatry,
- Admission to study by weightloss.
- Or those who do not wish to participate or who do not sign the informed consent
Sites / Locations
- Hospital Universitario Donostia
- Hospital Galdakao-Usansolo
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Placebo Comparator
Placebo Comparator
Intervention arm
By demand arm
Usual care arm
The "Intervention arm" includes an intervention in the groups of patients who, after screening, are identified as having disease-related malnutrition (DRM) or at risk of DRM, and a follow-up of the rest of the patients
The "By demand arm" will include patients in whom the nutritional intervention, if given, is performed by demand by the medical staff responsible for each patient.
In the "Usual care arm" usual hospital practice is followed without any explicit nutritional intervention