Overcoming Barriers To Protected Mealtimes Implementation To Prevent And Treat Malnutrition
Funder
National Health and Medical Research Council
Funding Amount
$176,250.00
Summary
Protected mealtimes, where patient meals are protected from negative interruptions, is a systems approach to address the vast problem of in-hospital malnutrition. It aims to positively improve food intake at mealtimes, treating and preventing malnutrition. Observational studies have previously shown promising clinical outcomes, limited due to reports of barriers to implementation of the strategy. This is the first study internationally to implement protected mealtimes in subacute care.
Best Evidence To Best Practice: Implementing An Innovative Model Of Care For Nutritional Management Of Patients With Head And Neck Cancer
Funder
National Health and Medical Research Council
Funding Amount
$276,250.00
Summary
This project aims to implement and evaluate an innovative best-practice dietetic model of care (MOC) based on published Evidence Based Guidelines for Nutritional Management of Patients with Head and Neck Cancer. Through integration with the multidisciplinary team, the MOC will take a patient-centred approach to delivery of nutritional care to minimise the detrimental sequelae of malnutrition and improve outcomes in this complex patient group.
Determining The Affect And Cost Effectiveness Of Nutrition In Critically Ill Patients From Intensive Care Unit Admission To Hospital Discharge.
Funder
National Health and Medical Research Council
Funding Amount
$138,964.00
Summary
Nutrition when you are severely unwell is very important to support recovery. Research is required to determine exactly how much nutrition is needed in severely ill patients to ensure their best recovery. This project aims to determine what effect nutrition has on clinical and functional outcomes of patients who are severely ill during their whole hospital stay. It will also aim to determine the cost effectiveness of nutrition for these patients.
Optimising Nutrient Delivery And Absorption In Critically Ill Patients
Funder
National Health and Medical Research Council
Funding Amount
$560,715.00
Summary
Patients surviving ICU are frequently discharged malnourished. Adequate nutrition is essential for optimal outcomes. It is considered best practice to administer nutrition as a liquid formula via a tube passed through the nose into the stomach, however this is frequently limited by impaired gastrointestinal function. We aim to develop more effective strategies for the provision of nutrition to improve nutritional and thereby clinical outcomes in critically ill patients.
Towards Evidence-based Adoption And Scale-up Of Cost-saving Primary Health Care Innovations
Funder
National Health and Medical Research Council
Funding Amount
$408,768.00
Summary
What innovations like service integration, care coordination and information technology (e.g. text message reminders, remote video consultations, remote monitoring) have in common is that they alter the patient-provider interface, more reliably and consistently than improving clinical outcomes. So, to determine their true costs and benefits, how to select among them and how to scale them up, this research program will assess them based on measures of how they alter patient-provider transactions.
Management Of Refeeding Syndrome In Critical Illness: An AuSPEN Endorsed Multi-centre Clinical Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,366,987.00
Summary
Critically ill hospitalised patients are frequently malnourished. When feeding is reestablished in malnourished patients, they often exhibit severe electrolyte imbalances and metabolic disturbances that can lead to slower recovery times, increased complications and even death. The purpose of this clinical trial is to investigate the benefits of a conservative approach of managing critically ill patients with refeeding syndrome.
Adequate nutrition is necessary for recovery from illness. 30-40% of hospitalised patients may be malnourished. The critically ill are at higher risk because of increased energy requirements yet often receive less than 50% of required nutritional intake. Adequate nutrition therapy is associated with improved patient outcomes, such as reduced mortality and reduced infectious complications. Robust strategies to implement of evidence-based recommendations for nutrition therapy are required.
The Augmented Versus Routine Approach To Giving Energy Trial (TARGET)
Funder
National Health and Medical Research Council
Funding Amount
$3,696,854.00
Summary
Critically ill patients are routinely underfed. The investigators have developed a simple strategy that reliably delivers 100% of caloric goals. The strategy is to substitute standard nutrient with energy dense nutrient and deliver it at the same rate. The aim of this study is to determine the effect of increased calorie delivery on long-term survival and function following critical illness. A 4000-patient, multicentre, double-blind, randomised, clinical trial will be performed.
Explaining Social Preferences For Priority Setting In The Health Sector
Funder
National Health and Medical Research Council
Funding Amount
$235,218.00
Summary
This project looks at whether the views of the public regarding the allocation of society's limited health care resources are well-informed and carefully considered. A series of focus groups will be conducted where members of the public can think about the ethical issues involved, discuss them with others, and ask questions. This approach has the potential to improve the legitimacy of health policy decisions by contributing to a better understanding of the values of the public.