Critical Illness, Enteral Nutrition, Starvation
Conditions
Keywords
Critical care, Intensive care unit, Early enteral nutrition, Nutritional management protocol
Brief summary
Nutritional treatment has become an essential component of the management of critically ill, due to better knowledge about positive impact of nutritional support. Malnutrition among ICU patients is associated with increased morbidity, mortality, length of stay (LOS) and therefore higher costs.Several studies however suggest, that early implementation of nutritional support is associated with improved clinical outcome, shorter LOS, and decreased infection rates. One of the objectives of this study is to determine if an nutrition protocol can improve the delivery of enteral tube feeding in the ICU.
Interventions
Collection of patient data before implementation of a nutritional management protocol
Collection of patient data after implementation of a nutritional management protocol
Sponsors
Study design
Eligibility
Exclusion criteria
* \<18 years of age * stay less than 72 hours on ICU * die within 72h after admission * patients admitted for palliative care
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Energy delivered (%of caloric target) before and after introducing the nutritional management protocol. | During ICU stay |
| Protein delivered (% of caloric target) before and after introducing the nutritional management protocol | During ICU stay |
| Start of enteral feeding after ICU admission | During ICU stay |
Secondary
| Measure | Time frame |
|---|---|
| length of hospital stay | During hospital stay |
| ICU mortality | During ICU stay |
| rate of accurately defined infections | During ICU stay |
| use of antibiotics (days) | During ICU stay |
| Hospital mortality | During hospital stay |
| length of ICU stay | During ICU stay |