Screening Day Latin America to Assess Disease-related Malnutrition and Clinical Nutrition Practice in ICU Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,162
- 试验地点
- 118
- 主要终点
- Caloric deficit on the day before the Screening Day
研究概览
简要总结
This is a survey which will be performed on a specific day (the "Screening Day") in Latin American ICUs.
In eligible patients who receive enteral or parenteral nutrition a retrospective calculation of the "caloric deficit" will be performed. The caloric deficit is the difference between energy target of each patient and actually administered calories.
详细描述
The Screening Day Latin America is a non-interventional, cross-sectional and retrospective study. The study focusses on patients receiving enteral (tube feeding, EN) and/or parenteral nutrition (PN).
All patients hospitalized on the defined Screening Day in participating ICUs will be checked for eligibility. In eligible patients the patient charts will be reviewed and the following parameters will be documented:
- Caloric deficit (daily target energy - actually administered energy via EN and PN). The caloric deficit will be calculated for 1 to up to 5 days before the Screening Day. The analysis will be done for each day and for the complete documentation period up to 5 days. Primary focus will be the caloric deficit on Day -1.
- Nutritional status of the patient based on information from the patient charts. For this, three tools will be applied independently: Subjective Global Assessment (SGA), NUTRIC Score, ESPEN diagnosis of malnutrition
The study will be performed in 8 Latin American countries.
Data will be recorded anonymously in an electronic case report form.
研究设计
- 研究类型
- Observational
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients will be included if the following criteria are fulfilled:
- •Critically ill adult (≥18 years of age) patients, including critically ill major gastrointestinal surgery patients
- •Patient is hospitalized in Intensive Care Unit (ICU) on the Screening Day
- •Patients receiving enteral nutrition (EN; tube feeding only) and/or parenteral nutrition (PN) on the Screening Day and the day before the Screening Day
- •Initiation of enteral nutrition (EN) and/or parenteral nutrition (PN) during ICU admission and at least one day before the Screening Day
- •A critically ill patient is defined as a patient with at least one organ failure.
排除标准
- •The following patients are excluded from the documentation:
- •Critically ill burn patients
- •Patients on the Intensive Care Unit (ICU) for surveillance without needing enteral nutrition (EN) and/or parenteral nutrition (PN)
结局指标
主要结局
Caloric deficit on the day before the Screening Day
时间窗: On the day before the Screening Day (day -1)
The caloric deficit on the day before the Screening Day will be derived by subtracting the provided calories from EN, PN and additional sources of caloric intake (e.g., dextrose-containing solutions, propofol emulsion) from the defined caloric target. Equation: Caloric Deficit = Target Calories - Given Calories If a caloric target is not provided/defined it will be assumed to be: * 20 kcal/kg/day actual body weight for the first 6 days after ICU admission * 25 kcal/kg/day actual body weight after day 6 of ICU admission period
次要结局
- Nutritional status of the patient(The Screening Day (Day 0) and the day of admission to the Intensive Care Unit (ICU))
- Cumulative caloric deficit on days -1 to -5 before the screening day(Days -1 to -5)
- Current use of enteral and parenteral nutrition(At Screening Day)