Outpatient nutrition support for malnourished surgical patients
Outpatient Preoperative Parenteral Nutrition in Malnourished Surgical Patients: A Feasibility Study
This study tests if giving nutrition support to malnourished patients at home before surgery can help them recover better and avoid hospital stays.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University of Alberta Academic / other |
| Locations | 2 sites (Edmonton, Alberta and 1 other locations) |
| Trial ID | NCT03926949 on ClinicalTrials.gov |
What this trial studies
This study evaluates the feasibility and impact of providing outpatient parenteral nutrition (PN) to malnourished patients before major surgery. Traditionally, pre-operative PN requires hospital admission, which can lead to increased costs and complications. By administering PN in an outpatient setting, the study aims to improve surgical outcomes while reducing hospital stays. The study will assess both the practicality of this approach and its effects on patient recovery.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older who are identified as malnourished based on specific screening tools.
Not a fit: Patients undergoing minor surgeries, those with severe systemic diseases, or those with diabetes may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly improve surgical outcomes for malnourished patients while minimizing hospital-related complications.
How similar studies have performed: While outpatient PN has not been extensively studied in this context, similar approaches in nutrition support have shown promise in improving patient outcomes.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients 18 years of age or older 2. Patients screened at risk of malnutrition by Canadian Nutrition Screening Tool (CNST) and identified as malnourished by subjective global assessment (SGA) B or C Exclusion Criteria: 1. Patients undergoing minor or laparoscopic surgery 2. Pregnancy 3. Patients with severe systemic diseases defined by American Society of Anesthesiologists (ASA) classification III to V 4. Patients with diabetes mellitus 5. Patients with planned palliative treatment
Where this trial is running
Edmonton, Alberta and 1 other locations
- Royal Alexandra Hospital — Edmonton, Alberta, Canada (Recruiting)
- University of Alberta Hospital — Edmonton, Alberta, Canada (Recruiting)
Study contacts
- Principal investigator: Leah Gramlich, MD — University of Alberta
- Study coordinator: Narisorn Lakananurak, MD
- Email: lakananu@ualberta.ca
- Phone: 17808865718
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.