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| Name | Class |
|---|---|
| Geisinger Clinic | OTHER |
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A retrospective study of protein intake and needs as well as outcomes in critically ill adult patients. Data will be collected for up to 7 days of ICU stay.
This retrospective study of critically ill adults receiving enteral nutrition will assess the ability to meet estimated protein and energy needs via enteral nutrition.
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| Measure | Description | Time Frame |
|---|---|---|
| Daily protein intake (from Parenteral Nutrition, Enteral Nutrition, oral diet, and medication) | Daily up to 7 days of ICU stay |
| Measure | Description | Time Frame |
|---|---|---|
| Enteral formula utilized (Standard, High protein, Very high protein) | Daily up to 7 days of ICU stay | |
| Daily caloric intake (from Parenteral Nutrition, Enteral Nutrition, oral diet, and medication) | Daily up to 7 days of ICU stay |
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Inclusion Criteria:
Exclusion Criteria:
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The study population will include all patients with an ICU admission receiving enteral nutrition in a 36-month period.
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| Name | Affiliation | Role |
|---|---|---|
| Joseph Layon, MD, FACP | Geisinger Clinic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Geisinger Medical Center | Danville | Pennsylvania | 17822 | United States | ||
| Geisinger Community Medical Center, Scranton, PA |
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| ID | Term |
|---|---|
| D016638 | Critical Illness |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Estimated caloric needs (Kcal/day) | Daily up to 7 days of ICU stay |
| Method for estimating caloric needs (descriptive name of scale) calorie needs met. | Daily up to 7 days of ICU stay |
| Percentage of daily caloric needs met (%) calorie needs met. | Daily up to 7 days of ICU stay |
| Estimated protein needs (grams protein/day) | Daily up to 7 days of ICU stay |
| Method for estimating protein needs (descriptive name of scale) | Daily up to 7 days of ICU stay |
| Percentage of daily protein needs met (%) | Daily up to 7 days of ICU stay |
| Laboratory values (Blood Urea Nitrogen) | Daily up to 7 days of ICU stay |
| Laboratory values (Creatinine) | Daily up to 7 days of ICU stay |
| Laboratory values (Aspartate aminotransferase) | Daily up to 7 days of ICU stay |
| Laboratory values (Alanine transaminase) | Daily up to 7 days of ICU stay |
| Laboratory values (Glucose) | Daily up to 7 days of ICU stay |
| Laboratory values (Ammonia) | Daily up to 7 days of ICU stay |
| Gastrointestinal side effects observed in enterally fed patients in the ICU | Daily up to 7 days of ICU stay |
| Insulin use | Daily dose up to 7 days of ICU stay |
| Health Outcomes (Renal failure, Seizures, Encephalopathy, Hyperglycemia, Hypoglycemia) | Daily up to 7 days of ICU stay |
| Utilization of renal replacement therapy (Yes/No) | Daily up to 7 days of ICU stay |
| Utilization of medications to manage hepatic encephalopathy (lactulose) (Yes/No) | Daily up to 7 days of ICU stay |
| Neurocognitive status (Glasgow Coma Scale) | Daily up to 7 days of ICU stay |
| Presence of delirium (Yes/No) | Daily up to 7 days of ICU stay |
| ICU Length of Stay | Up to 90 Days |
| Hospital Length of Stay | Up to 90 Days |
| Ventilator days | Up to 90 Days |
| Antibiotic therapy days | Up to 90 Days |
| 30 day readmission | Incidence up to 30 days post discharge |
| Death during hospitalization (Yes/No) | Through study completion, assessed an estimated 36 months |
| Destination for discharge (home, another acute care hospital, Long Term Acute Care, rehabilitation center, nursing home) | Destination of Discharge will be assessed via chart review. | Through study completion, assessed an estimated 36 months |
| Discharge against medical advice (Yes/No) | Through study completion, assessed an estimated 36 months |
| Scranton |
| Pennsylvania |
| 18510 |
| United States |
| Geisinger Wyoming Valley Medical Center | Wilkes-Barre | Pennsylvania | 18711 | United States |