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Nutrition Care in Canadian Hospitals: Study



A Bit of Background

Malnutrition has been a longstanding concern in Canadian healthcare environments.
For a brief snapshot of the issue, consider the facts:

Malnutrition in hospitals is a result of many factors affecting patients at different stages of their hospitalization:

Before admission:

  • Socio-psychological and
    environmental conditions
  • Weight loss
  • Increased age
  • Inadequate nutrition care in the community
  • underlying disease

At admission:

  • Poor screening process
  • Shortage of healthcare
    professionals
  • Lack of nutritional care plan
    and clear protocols
  • Underlying disease

After admission (during stay):

  • Poor food quality
  • Unnecessary fasting
  • Lack of time
    monitoring nutrition
  • Unclear roles of
    inter-professional team
  • Lack of nutritional interventions

Malnutrition is also associated with:

  • Increased length of stay
  • Higher hospitalization costs
  • Increased mortality rate
  • Impaired wound healing
  • Increased infection rates
  • Added complications

 


Study Sites and Investigators (adult study)

Phase 1 Study Sites

  • Réseau de santé Vitalité Health Network: Campbellton Regional Hospital, Campbellton, New Brunswick
  • St. Michael’s Hospital, Toronto, Ontario
  • University Health Network, Toronto, Ontario
  • St. Boniface General Hospital, Winnipeg, Manitoba
  • Royal Alexandra Hospital, Edmonton, Alberta
  • Sturgeon Community Hospital, Edmonton, Alberta

Phase 2 Study Sites

  • Réseau de santé Vitalité Health Network: Centre hospitalier universitaire Dr. Georges-L.-Dumont, Moncton, New Brunswick
  • Jewish General Hospital, Montreal, Quebec
  • Regina Qu’Appelle Health Region, Regina, Saskatchewan
  • Foothills Medical Centre, Calgary, Alberta

Phase 3 Study Sites

  • Vancouver General Hospital, Vancouver, British Columbia
  • Niagara Health System, St. Catharines, Ontario
  • Toronto East General Hospital, Toronto, Ontario
  • Nanaimo Regional General Hospital, Nanaimo, British Columbia
  • Yarmouth Regional Hospital, Yarmouth, Nova Scotia
  • Hopital Notre Dame du CHUM, Montreal, Quebec.
  • Hamilton Health Sciences, Hamilton, Ontario
  • Hôpital Pierre-Le Gardeur, Terrebonne, Quebec

Site Investigators

  • Manon Laporte MSc, Dt.P, CNSC
  • Khursheed Jeejeebhoy MB, BS, MRCP, PhD, FRCP
  • Pauline Darling PhD, RD
  • Johane Allard, MD, FRCP
  • Donald Duerksen, MD, FRCPC
  • Leah Gramlich MD, FRCPC
  • Paule Bernier, Dt.P, MSc
  • Roseann Nasser, RD, MSc.
  • Maitreyi Raman MD, FRCPC
  • Theresa Cividin MA, RD
  • Eileen Cabrera MSc, RD.
  • Adam Rahman MD, (D)ABIM, FRCP(C)
  • Angela Chen RD, CNSD
  • Heather Tant RD
  • Patti Simpson M.Ad.Ed., P.Dt
  • Danuta Balicki MD, PhD, CSPQ, FRCPC, FACP
  • Louise Belley Dt.P
  • David Armstrong, MA, MB BChir, FRCP(UK), FACG, AGAF, FRCPC
  • Catherine Talbot Dt. P.

Site Coordinators

  • Isabelle Caissie
  • Stanley Zhang
  • Bianca Arendt
  • Laura Toews
  • Nicole Journault
  • Claire Johnson
  • Marissa Ranallo
  • Colleen Klein
  • Sally Ho
  • Claudia Dow
  • Andrea Digweed
  • Cathy You
  • Tracy Lister
  • Natalie Pothier
  • Josee Beaudoin
  • Anda Maric
  • Genevieve St. Jean.


Study Sites and Investigators (pediatric study)

Study Sites

  • Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec
  • BC Children's Hospital, Vancouver, British Columbia
  • Kingston General Hospital, Kingston, Ontario
  • Alberta Children’s Hospital, Calgary, Alberta
  • IWK Health Centre, Halifax, Nova Scotia

Site Investigators

  • Emile Levy MD, PhD
  • Valerie Marchand MD, FRCPC
  • Vishal Avinashi MD, MPH, FRCPC
  • Angela Noble MD
  • Dana Boctor MSc, MD, FRCP(C)
  • Mohsin Rashid MD, FRCP(C)

Site Coordinators

  • Andrea McCarthy
  • Sarah Harvey
  • Nicole Gilbert
  • Amanda MacDonald


Current Status

With Phase 1 complete, we are excited to note our progress to date:


How to Get Involved

 

© Canadian Malnutrition Task Force