Unique ID issued by UMIN | UMIN000038054 |
---|---|
Receipt number | R000043365 |
Scientific Title | Survey of nutritional management and investigation of the relationship between amount of nutrition and outcomes for total parenteral nutrition patients : A cohort study using the medical database |
Date of disclosure of the study information | 2019/11/15 |
Last modified on | 2020/06/18 21:25:03 |
Survey of nutritional management and investigation of the relationship between amount of nutrition and outcomes for total parenteral nutrition patients : A cohort study using the medical database
Survey of nutritional management and outcomes for total parenteral nutrition patients
Survey of nutritional management and investigation of the relationship between amount of nutrition and outcomes for total parenteral nutrition patients : A cohort study using the medical database
Survey of nutritional management and outcomes for total parenteral nutrition patients
Japan |
Patients who were managed by total parenteral nutrition
Medicine in general |
Malignancy
NO
To clarify the total parenteral nutrition management in acute hospital and to investigate the relationship between amount of nutrition and outcomes.
Safety,Efficacy
Exploratory
Pragmatic
Not applicable
Hospital mortality
(1)Activity of daily living
(2)Re-admission rate
(3)Length of hospital stay
Observational
18 | years-old | <= |
Not applicable |
Male and Female
(1)Patients who were inserted central venous catheter from January 1, 2009 to December 31, 2018
(2)Patients aged 18 years or older
(1)Patients whose body weight data is missing
(2)Patients whose body weight is less than 10 kg
(3)Patients who were discharged within 10 days after central venous catheter insertion
(4)Patients who received oral feeding or tube feeding within 10 days after central venous catheter insertion
(5)Patients whose dose of parenteral nutrition was less than 5 kcal/kg/day or more than 60 kcal/kg/day on average from 4 to10 days (during 7 days) after central venous catheter insertion
(6)Patients whose dose of parenteral amino acids were less than 0.1 g/kg/day or more than 3 g/kg/day on average from 4 to10 days (during 7 days) after central venous catheter insertion
(7)Patients whose dose of parenteral lipids were more than 3 g/kg/day on average from 4 to10 days (during 7 days) after central venous catheter insertion
50000
1st name | Yusuke |
Middle name | |
Last name | Sasabuchi |
Jichi Medical University
Data science center
329-0431
3311-1 Yakushiji, Shimono Tochigi
0285-44-2111
sasabuchi@jichi.ac.jp
1st name | Satoru |
Middle name | |
Last name | Kamoshita |
Otsuka Pharmaceutical Factory, Inc.
Applied Clinical Development Department
101-0048
2-9 Kanda Tsukasamachi, Chiyoda-ku Tokyo
03-5217-5954
kamoshitas@otsuka.jp
Jichi Medical University, Data science center
Otsuka Pharmaceutical Factory, Inc.
Applied Clinical Development Department
Profit organization
Otsuka Pharmaceutical Factory, Inc.
Clinical Research Ethics Committee, Jichi Medical University
3311-1 Yakushiji, Shimono Tochigi
0285-58-8933
rinri@jichi.ac.jp
NO
自治医科大学データサイエンスセンター(栃木県)
Data science center, Jichi Medical University
2019 | Year | 11 | Month | 15 | Day |
Unpublished
Completed
2019 | Year | 10 | Month | 01 | Day |
2019 | Year | 11 | Month | 07 | Day |
2019 | Year | 11 | Month | 07 | Day |
2019 | Year | 11 | Month | 07 | Day |
2020 | Year | 03 | Month | 31 | Day |
Study design
A cohort study using the medical database
Data source
A medical database provided by Medical Data Vision Co.Ltd.
The database is based on the DPC data/medical and technical service claims data. The database covers about 20% of all DPC hospitals in Japan. All data is anonymized from the viewpoint of personal information protection.
Survey of nutritional management
The following items are surveyed in patients who were inserted central venous catheter.
Patient characteristics
Time of the start of nutritional management
Category of catheter and type of parenteral nutrition product
Daily amount of parenteral nutrition from 1 to 10 days after central venous catheter insertion
Mean of the daily amount of parenteral nutrition
Factors that influence parenteral nutrition management
Relationship between amount of nutrition and outcomes
Patients are divided into 3 groups according to the achievement of nutritional goal.
Nutritional goal
Energy 20 kcal/kg/day or more
Amino acids 1.0 g/kg/day or more
Lipids 2.5 g/day or more
Study groups
(1)Not achieved any of the goal
(2)Achieved partial goals
(3)Achieved all goals
Statistical analysis
The hospital mortality, activity of daily living, re-admission rate and length of hospital stay are compared between the 3 study groups (Not achieved any of the goal, Achieved partial goals, and Achieved all goals).
Logistic regression analysis is used to calculate odds ratio and 95% confidence interval.
2019 | Year | 09 | Month | 19 | Day |
2020 | Year | 06 | Month | 18 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000043365