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Metabolic and Nutritional Characteristics of Long-stayer ICU Patients

Completed
Conditions
Critically Ill
Registration Number
NCT03938961
Lead Sponsor
Centre Hospitalier Universitaire Vaudois
Brief Summary

The intensive care (ICU) patient population has increasing number of very long ICU stays. Long-stayers are usually defined as requiring more than 1 week of mechanical ventilation and of ICU therapy: little is know about their metabolic characteristics and their relation to outcome. The study aims at describing the demographic, nutritional and metabolic aspects of their stay.

Analysis of 200-250 consecutive patients admitted to the ICU long-stayer program.

Detailed Description

Data extracted from the computerized ICU system (PDMS): age, Simplified acute physiology score (SAPSII), weight, BMI, Nutrition Risk Score (NRS-2002), daily energy, protein, and glucose intakes, Energy balance, blood glucose (dysglycemia and Glu variability) and lactate, 24hr-insulin (Goal Glu 6-8 mmol/l).

Outcome variables: length of stay (LICU), muscle strength (MRC), vital status at 90 days.

Patients will be followed in detail until ICU discharge and for vital status until day 90 after admission Data will be presented as mean or median, univariate and multivariate analysis will be performed.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
205
Inclusion Criteria
  • ICU length of stay > 7 days and enrollment to the long-stayer ICU program
Exclusion Criteria
  • Major burns
  • Brain injury
  • Severe neurological condition as primary disease

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Vital Statusup to 90 days

Alive or dead at 90 days after ICU admission

Secondary Outcome Measures
NameTimeMethod
Forceup to 90 days

Muscle strength measured by Medical research Council (MRC) score

Trial Locations

Locations (1)

Adult ICU and Burns, University of Lausanne Hospital

🇨🇭

Lausanne, Vaud, Switzerland

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