Critically ill patient.
Conditions
Interventions
Intervention 1: Intervention group: Patients admitted to the intensive care unit are under nutritional support including enteral or intravenous nutrition by a nutritionist. Enteral feeding will be don
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Age over 18 years Hospitalization period of more than 3 days in the intensive care unit
Exclusion criteria
Exclusion criteria: Patients with extensive head trauma (GCS less than 8) Severe liver disease (score C for Child Pugh) Treated with dialysis Patients who are admitted to the ICU for open-heart surgery are not included in the study because the duration of their hospitalization depends on several underlying factors. Pregnancy Patients who have not received nutritional support 48 hours after being admitted to the ICU for some reason will not be included in the plan
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Length of stay in ICU. Timepoint: before the intervention and when the patient is discharged from the intensive care unit. Method of measurement: Counting days of hospitalization. | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of ventilator use or need. Timepoint: During the intervention period (the duration of the patient's hospitalization in the intensive care unit). Method of measurement: Counting days of intervention (Event Registration Questionnaire).;Mortality rate. Timepoint: During the intervention period (the duration of the patient's hospitalization in the intensive care unit). Method of measurement: Event registration (Event Registration Questionnaire).;Occurring new pressure ulcers. Timepoint: During the intervention period (the duration of the patient's hospitalization in the intensive care unit). Method of measurement: Event registration (Event Registration Questionnaire).;The need for surgery or unplanned medical interventions. Timepoint: During the intervention period (the duration of the patient's hospitalization in the intensive care unit). Method of measurement: Event registration (Event Registration Questionnaire).;Occurrence of kidney disorders with the definition of creatinine more than 1.2 mg/dL or the need for dialysis. Timepoint: During the intervention period (the duration of the patient's hospitalization in the intensive care unit). Method of measurement: Event registration (Event Registration Questionnaire).;The occurrence of liver disorders with the definition of bilirubin more than 1.2 mg/dL. Timepoint: During the intervention period (the duration of the patient's hospitalization in the intensive care unit). Method of measurement: Event registration (Event Registration Questionnaire).;Incidence of infectious complications according to the definition of infection in the ICU of the International Sepsis Association (ventilator-associated pneumonia, bacteremia, urinary tract infections, wound infections, abdominal infections) 48 hours after the start of the intervention. Timepoint: During the intervention period (the duration of the patient's hospitalization in the intensive care unit). Method of measurement: Event registration (Event Registration Ques | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Azadeh Mottaghi
Iran University of Medical Sciences
Outcome results
None listed