Implementation of an Evidence-based Nutritional Management Protocol in Critically Ill Patients:Does Clinical Outcome Improve?
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Critical Illness
- Sponsor
- Insel Gruppe AG, University Hospital Bern
- Enrollment
- 200
- Primary Endpoint
- Energy delivered (%of caloric target) before and after introducing the nutritional management protocol.
- Status
- Completed
- Last Updated
- 10 years ago
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- •\<18 years of age
- •stay less than 72 hours on ICU
- •die within 72h after admission
- •patients admitted for palliative care
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
- rate of accurately defined infections(During ICU stay)
- use of antibiotics (days)(During ICU stay)
- Hospital mortality(During hospital stay)
- ICU mortality(During ICU stay)
- length of ICU stay(During ICU stay)
- length of hospital stay(During hospital stay)