Critically ill adult patients with parenteral nutrition and liver parameters altered.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age = 18 years. • Patients with at least 5 days of PN. • Baseline liver parameters before PN: GGT, alkaline phosphatase =65 years) yes F.1.3.1 Number of subjects for this age range 117
Exclusion criteria
Exclusion criteria: - Lipids administration contraindicated - Have a history of hypersensitivity of idiosincratic reactions to any component of intravenous lipid emulsions. - Home parenteral nutrition patients - Liver transplantation - Liver parameters alterations before PN: 20% above upper normal values. - Patients rejection to participate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: In critically adult patients with parenteral nutrition with liver impairment related to parenteral nutrition, the main objective is to determinate wether the change to lipidic emulsion (with a 30% omega-3 fatty acids) is effective in reducing th liver impairment, measured as gamma-glutamyl-transferase (GGT);Secondary Objective: To analyze wether the use of PN with a 30% of omega-3 fatty acids is effective in reducing the infection rate, hyperglycemia rate, hypertrygliceridemia rate, ICU and hospital length of stay. As well as to study the differences in farnesoid-X receptor expression depending on the type of lipid received.;Primary end point(s): Primary end point is the change of liver function parameters: GGT ; from the value the day of inclusion to the end of PN.;Timepoint(s) of evaluation of this end point: Inclusion day and end of PN. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Infection rate, hyperglycemia rate, hypertrygliceridemia rate, ICU and hospital length of stay. Farnesoid-X receptor expression measured as fibroblast-growth-factor-19. ;Timepoint(s) of evaluation of this end point: Day of inclusion and end of PN | — |
Countries
Spain
Contacts
VALL HEBRON UNIVERSITY HOSPITAL