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The protocol was modified substantially and will be resubmitted to Clinical Trial
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In this pilot randomized prospective controlled trial the investigators intend to compare the use of a nutritional therapy based on caloric intake determined by indirect calorimetry and high protein intake with nutritional regimen based on 25 Kcal / kg / day and protein intake usually recommended for critically ill patients (1.4 to 1.5 grams / kg / day of protein).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group | Experimental | Individualization of caloric administration with indirect calorimetry and 2.0 to 2.2 g/kg/day of protein. Early initiation of nutritional support (24 hours of admission) |
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| Control group | Active Comparator | Nutritional support initiated in the first 24 hours of admission. Protein and caloric goals calculated as 25 Kcal/kg/day and 1.4 to 1.5 g/kg/day of protein. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Peptamen intense | Other |
| ||
| Novasource senior |
| Measure | Description | Time Frame |
|---|---|---|
| Physical function measured through the tool Physical Component Summary - PCS of Short Form 36 | Three months after randomization |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital mortality | Up to 1 year | |
| Length of ICU stay | Up to 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| JOSE R AZEVEDO, PhD | COORDINATOR ICU HOSPITAL SAO DOMINGOS | Principal Investigator |
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| D012772 | Shock, Septic |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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|
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D012769 | Shock |