None listed
Conditions
Brief summary
To date, nutrition research in critical illness has focused on the acute early period of illness, when metabolic changes and catabolism occurs. However, despite much research, no large-scale randomised controlled trial (RCT) has demonstrated a clear benefit for nutrition interventions delivered early and for a short duration in the Intensive Care Unit (ICU). Limited work investigating nutrition in the post-ICU phase of illness has been conducted to date, but what is known consistently shows (across many different populations) that intake in this period is below clinician estimates. These shortfalls in nutrition adequacy across acute hospitalisation (and if these shortfalls continue to the sub-acute setting also), may have the potential to impact long-term recovery following critical illness although investigation in this area is lacking. The aim of this study is to describe the nutrition process of care in critically ill adult patients from ICU admission until discharge from inpatient rehabilitation. This study is a single-centre retrospective observational study conducted at an acute care hospital and subacute inpatient facility within Alfred Health, including adult patients aged 18 years and above, who had an ICU admission at The Alfred Hospital for more than 48 hours with discharge to Caulfield Hospital inpatient rehabilitation within 28 days during index hospitalisation admission.
Interventions
This retrospective observational study will observe the nutrition process of care in critically ill patients from Intensive Care Unit (ICU) admission until discharge from inpatient rehabilitation.
Data collection will occur during the admission period of March 2019 – February 2020 (inclusive).
Data collection will stop either at 50 patients or at the end of the study period, whichever occurs first. Data collection will stop upon discharge from inpatient rehabilitation, or after study day 28,
This retrospective observational study will observe the nutrition process of care in critically ill patients from Intensive Care Unit (ICU) admission until discharge from inpatient rehabilitation. Data collection will occur during the admission period of March 2019 – February 2020 (inclusive). Data collection will stop either at 50 patients or at the end of the study period, whichever occurs first. Data collection will stop upon discharge from inpatient rehabilitation, or after study day 28, whichever occurs first.
Sponsors
Dr Emma Ridley
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
- 18 years of age or older - ICU admission at The Alfred Hospital for more than 48 hours with discharge to Caulfield inpatient rehabilitation within 28 days during index hospitalisation admission
Exclusion criteria
- Where death occurred during acute care hospitalisation - Enrolled in the intervention arm of INTENT (Intensive nutrition therapy compared to usual care in critically ill adults: A randomised pilot trial)
Outcome results
None listed