Assessment of Malnutrition in Hospitalized Patients: a Quasi Study (AMMRP)

AlFayhaa General Hospital

Status: Not yet enrolling

Conditions: Alzheimer s Disease; COPD , Neurology , ICU; Alzheimer

Treatments: Other: Nutritional Assessment and Medication Review

Study type: Observational

Funder types: Other; NETWORK

Identifiers

NCT07473492

AMMRP-2026-BASRA (Other Identifier)

hospitalized malnutrition

Details and patient eligibility

About

Malnutrition among hospitalized patients is a critical, yet often overlooked, public health issue associated with increased complications, longer hospital stays, higher mortality, and greater healthcare costs. In Iraq, factors such as dietary patterns, the burden of chronic diseases, and healthcare constraints may increase the risk of hospital-acquired malnutrition. Current standard care may not include systematic nutritional screening or protocol-driven support. This trial aims to test whether implementing an individualized nutritional support program can improve clinical outcomes for at-risk medical inpatients in Iraqi hospitals, building upon evidence from international studies

Enrollment: 300 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age: Adult patients aged $\ge$ 18 years.Setting: Patients admitted to the Medicine, Surgery, or Neurology Intensive Care Unit (ICU) wards at Al-Basrah Teaching Hospital or Al-Fayhaa General Hospital.Duration of Stay: Patients who have been hospitalized for a minimum of 48 hours (to ensure a baseline for malnutrition screening and medication review).Clinical Conditions: Patients with various primary diagnoses, including specific subgroups with Chronic Obstructive Pulmonary Disease (COPD) and Alzheimer's Disease.Informed Consent: Patients or their legal guardians (especially for those in the ICU or with cognitive impairment) who provide written or verbal informed consent.

Exclusion criteria

• Maternity/Obstetrics: Pregnant or lactating women, as nutritional requirements and physiological BMI changes differ from the general adult population.

Terminal Illness: Patients in end-of-life or palliative care where nutritional intervention is no longer a clinical goal.

Incomplete Records: Patients with missing medical or medication charts that prevent the accurate identification of Medication-Related Problems (MRPs).

Short Stay: Patients planned for discharge or transfer within less than 48 hours of admission.

Psychiatric Disorders: Patients with primary psychiatric diagnoses that may interfere with the ability to conduct nutritional assessments (unless a guardian is present).

Trial design

300 participants in 1 patient group

Hospitalized Adults in Basrah

Description:

This cohort consists of 200 adult patients (age \> 18 years) admitted to the Medicine, Surgery, and Neurology ICU wards of Al-Basrah Teaching Hospital and Al-Fayhaa General Hospital.

Treatment:

Other: Nutritional Assessment and Medication Review

Other: Nutritional Assessment and Medication Review