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Leptin and Ghrelin in ICU

Phase 4
Completed
Conditions
Critically Ill
Interventions
Other: enteral feeding by nasogastric tube.
Registration Number
NCT02282501
Lead Sponsor
özgür yağan
Brief Summary

Enteral alimentation is the preferred modality of support in critical patients who have acceptable digestive function and are unable to eat orally, but the advantages of continuous versus intermittent administration are surrounded by controversy.

This prospective, randomised study was designed to compare two enteral feeding methods with respect to changes in levels of leptin and ghrelin in ICU.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • who were unable to ingest an oral diet
  • given decision on enteral feeding
Exclusion Criteria
  • Carcinomatosis
  • irreversible coma
  • death or discharge before 14 days of observation
  • contraindication to enteral feeding
  • intolerance to the prescribed nutrients or infusion regimen
  • burn
  • multiple trauma
  • morbid obesity
  • end stage liver or renal or lung disease
  • severe sepsis or septic shock
  • patients with percutaneous endoscopic gastrostomy
  • immunosuppressive drug use
  • severe hemodynamic instability
  • massive blood transfusion

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
intermittent feedingenteral feeding by nasogastric tube.Bolus infusion - The total daily feeding period was also 4-6 times a day.
continuous feedingenteral feeding by nasogastric tube.Continuous infusion - The daily desired amount was offered continuously for 20 hours a day.
Primary Outcome Measures
NameTimeMethod
Change from baseline in serum leptin concentration at three weeks in ICUfirst, 7th, 14th and 21th day
Change from baseline in serum ghrelin concentration at three weeks in ICUfirst, 7th, 14th and 21th day in ICU
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Anesthesiology and Reanimation Dept. Ordu University Training and Research Hospital

🇹🇷

Altınordu, Ordu, Turkey

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