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slow enrollment
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The purpose and primary objective of this study is to determine if there is an association between enteral tube feed (TF) osmolality and diarrhea in critically ill patients. The investigators hypothesize that the administration of a TF formulation with high osmolality will cause more diarrhea than a TF formulation with a lower osmolality.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Promote without fiber | Active Comparator | Lower osmolality enteral tube feed formulation |
|
| Osmolite 1.5 | Active Comparator | Higher osmolality enteral tube feed formulation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Osmolite 1.5 | Other | Continuous enteral tube feeding according to a standardized calculation via nasojejunal tube. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of diarrhea at 72 hours | 72 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of diarrhea at 14 days | 14 days | |
| Mean frequency of diarrhea days | 14 days | |
| Total number of diarrhea days |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Utah Health | Salt Lake City | Utah | 84112 | United States |
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| ID | Term |
|---|---|
| D003967 | Diarrhea |
| D016638 | Critical Illness |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020969 | Disease Attributes |
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| ID | Term |
|---|---|
| D004043 | Dietary Fiber |
| ID | Term |
|---|---|
| D004040 | Dietary Carbohydrates |
| D002241 | Carbohydrates |
| D005502 | Food |
| D000066888 | Diet, Food, and Nutrition |
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| Promote without fiber | Other | Continuous enteral tube feeding according to a standardized calculation via nasojejunal tube. |
|
| 14 days |
| Mean diarrhea scores | Hart and Dobb Diarrhea Scale (a tool based on consistency and size of each stool, with a sum of all stools in one day equaling the score for each day and a score of 12 or more indicates diarrhea) | 14 days |
| Time at 75% or more of goal tube feeding rate | 14 days |
| Incidence of hypokalemia | 14 days |
| Incidence of perineal dermatitis | 14 days |
| Number of Clostridium difficile assays sent | 14 days |
| D010335 | Pathologic Processes |
| D010829 |
| Physiological Phenomena |
| D019602 | Food and Beverages |