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临床试验/NCT02831725
NCT02831725Unknown不适用

An Observational Cohort Study to Establish Accurate Nutrition Therapy for Critically Ill Patients

Peking Union Medical College Hospital0 个研究点目标入组 120 人开始时间: 2016年7月最近更新:
适应症

试验速览

阶段
不适用
入组人数
120
主要终点
complications after the operation

研究概览

简要总结

  1. Demographics data;
  2. Nutritional evaluation data;
  3. All biochemical monitoring data during the study period;
  4. All nutritional treatment data will be recorded daily during the study period, including actual calorie intake, protein intake, and the proportion of calorie/protein administered by EN and/or PN route. The nutritional treatment protocol will be decided by the attending physician, the investigator will not intervene.
  5. A blood sample (5 ml) will be drawn from every patient immediately after they enroll into the study, and the metabolomics of the samples will be analyzed analysis using a combined 800 MHz 1H-NMR-UPLC-MS system. The data will then be used to establish metabolic profile baseline.
  6. We will establish a sub-group that contains 20 patients (chosen from enrolled patients according to APACHE II scores: 10 patients are APACHE II scores in 21-30). We will take one blood sample daily during the whole study period. The plasma sample will be used for metabolomics analysis using an 800 MHz 1H-NMR-UPLC-MS system. And the data will be used for metabolic dynamic modeling.
  7. Clinical outcomes data, which include: 1) Complications after the operation (intestinal fistula, pancreatic fistula, biliary fistula and sepsis, bleeding, nosocomial infection); 2) death event; 3) ICU-stay; 4) Length of hospitalization

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • age: 18-70
  • patients are underwent Whipple operation or subtotal gastrectomy and ever admitted to intensive care unit (ICU) after the operation
  • receive parenteral or enteral nutrition > 3 days

排除标准

  • has metabolic disorders: diabetes, thyroid disease
  • Pregnant or breastfeeding
  • The presence of drug or alcohol dependence
  • The presence of tuberculosis, HIV infection and other acute infectious disease
  • Serious liver, kidney, heart and other vital organ failure

结局指标

主要结局

complications after the operation

时间窗: three years

intestinal fistula, pancreatic fistula, biliary fistula and sepsis, bleeding, nosocomial infection

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

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