Personalized Adapted Diet and Nutritional Follow-up With Therapeutic Education in Critically Ill Patients : Impact on Calorie and Protein Deficit, on Weight, Mortality, and Quality of Life
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Food Intake
- Sponsor
- University Hospital, Montpellier
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- Impact on the weight 3 months after the renewal of oral intakes
- Status
- Terminated
- Last Updated
- 8 years ago
Overview
Brief Summary
The purpose of the present study is to evaluate the effects of a personalized oral diet in the critically ill patients during ICU stay and after as compared usual oral diet.
Detailed Description
This is a prospective randomized controlled single center clinical trial. This trial include patient over 18 year hospitalized in ICU and ventilated more than 5 days and/or with denutrition after 5 days of no food intake in ICU without shock and/or respiratory distress. The randomization is awebsite randomization with stratification on age, presence of sepsis at inclusion, renal failure The day of the resumption of the oral feeding (J0), realization of a protocolized swallowing test then randomization and creation of a control and intervention group Control group: * Nutrition in resuscitation according to medical prescription: food recovery with a light meal consisting of soup and desserts and evolution to a normal meal according to the capabilities of patients * Daily quantification of ingesta (calories and proteins) by a dietitian until the exit resuscitation. Comparison with caloric-protein targets. * Nutritional evaluation before the release of resuscitation. Intervention group: * NAP: "Customized Adapted Nutrition" * Daily quantification of ingesta (calories and proteins) by a dietitian until the exit resuscitation. Comparison with caloric-protein targets. * Therapeutic education. * Nutritional evaluation before the release of resuscitation. * Creation at the exit of resuscitation of a nutritional linkage sheet with instructions food The prospects for optimizing oral replenishment are multiple: * reduce morbidity and mortality within 3 months after a stay in intensive care unit. * improve autonomy and quality of life after a stay in intensive care. * improve the privileged relationship with the patients' families. * strengthen links within the resuscitation team and with downstream services. * Educate patients on a nutritional level.
Investigators
Eligibility Criteria
Inclusion Criteria
- •patient 18 yo or above hospitalized in ICU and ventilated more than 5 days and/or with severe denutrition after 5 days of no food intake in ICU without shock and/or respiratory distress
Exclusion Criteria
- •age under 18 yo, pregnancy,
- •protected patients
- •moribund patient (life expectancy of 48h or below),
- •patient with disorders of swallowing
- •tracheostomy
- •patient with shock and/or respiratory distress
Outcomes
Primary Outcomes
Impact on the weight 3 months after the renewal of oral intakes
Time Frame: at 90 days
Decrease of weight variation 3 months after the renewal of oral intakes
Secondary Outcomes
- weight at D30(at 30 days)
- mortality at D30(at 30 days)
- mortality at D90(at 90 days)
- length of stay in Intensive car unit(until the 90th day)
- length of stay in rehabilitation center(until the 90th day)
- infectious and non infectious complications(until the 90th day)
- length of stay in Hospital(until the 90th day)
- quality of life and autonomy(at 90 days)