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| Name | Class |
|---|---|
| Abbott Nutrition | INDUSTRY |
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Nutritional treatment has become an essential component of the management of critically ill, due to better knowledge about positive impact of nutritional support. Malnutrition among ICU patients is associated with increased morbidity, mortality, length of stay (LOS) and therefore higher costs.Several studies however suggest, that early implementation of nutritional support is associated with improved clinical outcome, shorter LOS, and decreased infection rates. One of the objectives of this study is to determine if an nutrition protocol can improve the delivery of enteral tube feeding in the ICU.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Observation | Other | Observation |
|
| Nutritional management protocol | Active Comparator | Collection of patient data after implementation of a nutritional management protocol |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Data Collection | Other | Collection of patient data before implementation of a nutritional management protocol |
|
| Measure | Description | Time Frame |
|---|---|---|
| Energy delivered (%of caloric target) before and after introducing the nutritional management protocol. | During ICU stay | |
| Protein delivered (% of caloric target) before and after introducing the nutritional management protocol | During ICU stay | |
| Start of enteral feeding after ICU admission | During ICU stay |
| Measure | Description | Time Frame |
|---|---|---|
| ICU mortality | During ICU stay | |
| Hospital mortality | During hospital stay | |
| length of ICU stay |
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Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michele Leuenberger, MD | University of Bern | Principal Investigator |
| Stephan M Jakob, MD, PHD | University of Bern | Study Director |
| Zeno Stanga, MD | University of Bern | Principal Investigator |
| Margaret Schafer, MD | University of Bern | Principal Investigator |
| Jukka Takala, MD, PHD | University of Bern | Study Chair |
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| ID | Term |
|---|---|
| D016638 | Critical Illness |
| D013217 | Starvation |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D044342 | Malnutrition |
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| ID | Term |
|---|---|
| D003625 | Data Collection |
| ID | Term |
|---|---|
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
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| Nutritional management protocol | Other | Collection of patient data after implementation of a nutritional management protocol |
|
| During ICU stay |
| length of hospital stay | During hospital stay |
| use of antibiotics (days) | During ICU stay |
| rate of accurately defined infections | During ICU stay |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |