G72.8
Conditions
Interventions
Group 1: Control (medical nutrition therapy following local SOP)
Group 2: Electrical muscle stimulation (10 days, rectus femoris muscle)
Group 3: Creatine supplementation (90 days, 5g/die)
Group 4: El
Sponsors
LMU Klinikum
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: • pmRS 0-3 • Frailty Scale 10 days
Exclusion criteria
Exclusion criteria: • Myopathies • Rhabdomyolysis (CK > 2000 U/L) • Mitochondriopathies • Diseases of the second motor neuron • Neuromuscular transmission disorders • Pacemaker or other stimulation procedures • Epilepsy or status epilepticus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Decrease in muscle thickness of MRF (M. rectus femoris) on day 10 (+/-1) after admission to the intensive care unit | — |
Secondary
| Measure | Time frame |
|---|---|
| • Heckmatt score/Grayscale homogeneity @ day 10 (+/- 1) • EQ-5D-5L @ day 90 (+/- 14 days) • PCS - SF36 @ day 90 (+/- 14 days) • GOSE @ day 90 (+/- 14 days) • GOSE @ ICU discharge • Hand grip @ ICU discharge • MRC-SS @ ICU discharge • Days to discharge alive from ICU • Duration of invasive ventilation (hours) • Decrease in volume (ultrasound-based) of stimulated muscle (MRF) @ day 5 (+/-1) and day 10 (+/-1) • Decrease in volume + thickness (ultrasound-based) of non-stimulated muscle (TBA (M. tibialis anterior) and TM (M. temporalis)) @ day 5 (+/-1) and day 10 (+/-1) • GFR (Cystatin C-based) d0, d10 • Continuous renal replacement therapy (yes/no) • Clinically relevant fluid overload (yes/no) • Delirium (days with delirium according to ISDSC relative to total ICU stay) • Cumulative fluid balance @ ICU discharge • New hemodynamically relevant cardiac arrhythmias (yes/no) | — |
Countries
Germany
Contacts
Public ContactMoritz Schmidbauer
LMU Klinikum
Outcome results
None listed