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| Name | Class |
|---|---|
| The First Affiliated Hospital of Soochow University | OTHER |
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Sepsis is a syndrome of life-threatening organ dysfunction caused by a dysregulated host response to infection.Acute catabolic response in critically ill patients struck by sepsis, manifested by massive protein breakdown in a short time.This pathology frequently leads to prolonged hospitalization and mechanical ventilation, increased mortality, and reduced quality of survival.It is uncertainty whether sepsis patients in ICU can benefit from high protein intake combined with early exercise. Even though the combination has been shown to be beneficial in other populations.In the present study, the investigator will evaluate the effects of a combination of high protein targets combined with early rehabilitation in sepsis patients in ICU.
Existing research results confirm that high target protein support can reduce the mortality of sepsis patients. Early bedside rehabilitation has a good effect on cognitive function after ICU. This study combined high-protein nutritional support with bedside rehabilitation to improve the quality of life in patients with sepsis after ICU.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| high protein + early bedside rehabilitation | Experimental |
| |
| high protein alone | Active Comparator |
| |
| standard protein + early bedside | Placebo Comparator | standard protein and rehabilitation |
|
| standard protein | Sham Comparator | only standard protein |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| high protein | Dietary Supplement | Patients in high-protein group will be given a target protein amount of 2.0 g/kg/d. Standard enteral nutrition is the first choice,the remaining target value will be met by intravenous amino acid infusion. |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital Mortality | Chart review | Day 90 |
| Measure | Description | Time Frame |
|---|---|---|
| Nutrition related indicators | Chart review | Hospital discharge |
| Physical functioning | Grip dynamometer | Hospital discharge |
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| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| ID | Term |
|---|---|
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
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| rehabilitation | Behavioral | In this trial, the investigator will provide early rehabilitation treatment such as respiratory training, bicycle training, and medium frequency electrical stimulation to patients. |
|
| standard protein | Dietary Supplement | The investigator set a protein target of 1.2 g/Kg/d for the standard protein group, which will be supplied enterally or parenterally. |
|
| Prognostic factor | Chart review | Hospital discharge |
| Health-related quality of life | SF-36 and EQ-5D-5L | Day 90 |
| D006296 |
| Health Services |
| D005159 | Health Care Facilities Workforce and Services |