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The aim of this study is to evaluate the impact of the prescription of two doses of protein on the amount in kilograms of muscle mass and on the clinical evolution (time until safe swallowing, time until removal of the feeding stoma, number of hospital readmissions, feeding stoma infections, incidence of pneumonia, functionality, number of falls, fractures and mortality) at 6 months after hospital discharge in patients with enteral nutrition due to post-extubation dysphagia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High protein group | Experimental | 100% of the energy requirements measured by indirect calorimetry (IC) or estimated, and a protein intake of 2.0 g/kg, will be prescribed |
|
| Usual protein group | Other | 100% of the energy requirements measured by IC or estimated, and a protein intake of 1.5 g/kg, will be prescribed. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High protein dose | Other | High dose of protein (2.0 g/kg) will prescribed for home enteral nutrition |
|
| Measure | Description | Time Frame |
|---|---|---|
| Muscle mass changes | Changes of muscle mass in kilograms measured by impedance bioelectric | From randomization to 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Swallow recovery | Time to safe swallowing diagnosed by fibroendoscopy evaluation of swallowing (FEES) and measured in months | From randomization to 6 months |
| Duration of enteral nutrition indication |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ivan A Osuna-Padilla, PhD | Contact | +5216671035806 | ivan.osuna@iner.gob.mx | |
| Alan Garcia-Grimaldo, MSc | Contact | agarciag1716@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Ivan A Osuna-Padilla, PhD | Instituto Nacional de Enfermedades Respiratorias | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Institute of Respiratory Diseases | Recruiting | Mexico City | 14080 | Mexico |
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| ID | Term |
|---|---|
| D003680 | Deglutition Disorders |
| ID | Term |
|---|---|
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D010608 | Pharyngeal Diseases |
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Randomized Clinical Trial
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Amounts of protein was not revealed for participants
| Usual protein dose | Other | Usual dose of protein (1.5 g/kg) will prescribed for home enteral nutrition |
|
Time from discharge to feeding tube removal
| From randomization to 6 months |
| Feeding tube complications | Number of feeding tube infections, dysfunctions and oclusions during study period | From randomization to 6 months |
| Muscle functionality changes | Changes in functionality measured by medical research council scale in a scale of 0-60 points | From randomization to 6 months |
| Handgrip strenght changes | Changes in functionality assessed by handgrip strenght in kilogramos using a digital dynamometer | From randomization to 6 months |
| Frailty complications | Number of falls and fractures during study period | From randomization to 6 months |
| Hospital readmissions associated to dysphagia complications | Number of hospital readmissions assocciated to feeding tube infections, dysfunctions and oclusions during study period | From randomization to 6 months |
| 6-month mortality | All-cause mortality during study period | From randomization to 6 months |
| Aspiration pneumonia incidence | Number of hospital readmissions due to aspiration pneumonia | From randomization to 6 months |
| D010038 | Otorhinolaryngologic Diseases |