NCT02159456
Unknown
Not Applicable
Continuous Versus Intermittent Enteral Feeding in Critically Ill Patients: a Prospective, Randomized Controlled Trial
ConditionsNutrition Disorders
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Nutrition Disorders
- Sponsor
- Seoul National University Hospital
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Achievement rate of target nutritional goal
- Last Updated
- 4 years ago
Overview
Brief Summary
-
Nutritional support during critical illness is important to improve the clinical outcome of patients. Recently, the apply of early enteral nutrition is recommend in critically ill patients on basis of data that enteral nutrition can be helpful to prevent the hospital-acquired infections.
- However, in critically ill patients, the smooth progress of nutritional support is often hindered by gastrointestinal intolerance, underlying clinical condition, and temporal necessity of procedure or operation.
- Continuous feeding method, compared with intermittent feeding, is expected to reduce the risk of gastrointestinal intolerance, and improve the nutritional support, but this hypothesis is not supported by appropriate evidences.
-
We will elucidate to compare the efficacy and safety of the continuous feeding method in critically ill patients, compared with the intermittent feeding method.
- Prospective, randomized controlled study
- Primary outcome: the achievement rate of target nutritional goal within 7 days after the start of enteral nutrition
- Secondary outcome: gastrointestinal tolerance, In-ICU/hospital mortality, frequency of hospital-acquired infection, ICU/hospital length-of-stay, duration of mechanical ventilation
Investigators
Jinwoo Lee
Professor
Seoul National University Hospital
Eligibility Criteria
Inclusion Criteria
- •adult patient admitted in the intensive care unit
- •age 20 years old or more
- •The enteral nutritional support is expected to be available within 48 hours after ICU admission
Exclusion Criteria
- •previous abdominal surgery within 1 month
- •gastrointestinal bleeding, bowel obstruction, refractory vomiting/diarrhea
- •hypersensitivity to prokinetics, history of seizure or phechromocytoma
- •enteral feeding via enterostomy or gastrostomy
- •difficulty to insert or maintain nasogastric tube
- •need for specialized feeding (ex: hemodialysis diet, chronic renal failure diet, diabetes diet)
- •pregnancy
Outcomes
Primary Outcomes
Achievement rate of target nutritional goal
Time Frame: Within 7 days after the start of enteral feeding
Secondary Outcomes
- ICU/hospital mortality(During hospital admission)
- Gastrointestinal tolerance(Within 7 days after start of enteral feeding)
- Frequency of hospital-aquired infection(During hospital admission)
- ICU/hospital length-of-stay(During hospital admission)
- Duration of mechanical ventilation(During hospital admission)
Study Sites (1)
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