Implementation of an Evidence-based Nutritional Management Protocol in Critically Ill Patients:Does Clinical Outcome Improve?
Trial Snapshot
- Phase
- Phase 4
- Status
- Completed
- Enrollment
- 200
- Primary Endpoint
- Energy delivered (%of caloric target) before and after introducing the nutritional management protocol.
Study Overview
Brief Summary
Nutritional treatment has become an essential component of the management of critically ill, due to better knowledge about positive impact of nutritional support. Malnutrition among ICU patients is associated with increased morbidity, mortality, length of stay (LOS) and therefore higher costs.Several studies however suggest, that early implementation of nutritional support is associated with improved clinical outcome, shorter LOS, and decreased infection rates. One of the objectives of this study is to determine if an nutrition protocol can improve the delivery of enteral tube feeding in the ICU.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Exclusion Criteria:
- •<18 years of age
- •stay less than 72 hours on ICU
- •die within 72h after admission
- •patients admitted for palliative care
Exclusion Criteria
- •<18 years of age
- •stay less than 72 hours on ICU
- •die within 72h after admission
- •patients admitted for palliative care
Arms & Interventions
Observation
Observation
Intervention: Data Collection (Other)
Nutritional management protocol
Collection of patient data after implementation of a nutritional management protocol
Intervention: Nutritional management protocol (Other)
Outcomes
Primary Outcomes
Energy delivered (%of caloric target) before and after introducing the nutritional management protocol.
Time Frame: During ICU stay
Start of enteral feeding after ICU admission
Time Frame: During ICU stay
Protein delivered (% of caloric target) before and after introducing the nutritional management protocol
Time Frame: During ICU stay
Secondary Outcomes
- Hospital mortality(During hospital stay)
- use of antibiotics (days)(During ICU stay)
- rate of accurately defined infections(During ICU stay)
- ICU mortality(During ICU stay)
- length of ICU stay(During ICU stay)
- length of hospital stay(During hospital stay)