Multiple Trauma
Conditions
Keywords
Trauma
Brief summary
This study will evaluate the effects of omega-3 fatty acid supplementation on inflammation in trauma patients. The main hypothesis is that such supplementation will reduce the presence of biomarkers of systemic inflammation, as compared to placebo
Detailed description
This prospective, randomized study will evaluate the effects of omega-3 fatty acid supplementation on inflammatory response in multi-injured trauma patients. Its primary objective is to compare the intensity of inflammation between an active omega-3 group and a placebo group.
Interventions
50 mg/kg per day of omega-3 fatty acids
50 mg/kg per day of placebo equivalent
Sponsors
Study design
Eligibility
Inclusion criteria
* Multi-system blunt trauma patients * Ages 18 through 65 years, inclusive * Admission to ICU * Nasogastric or nasoenteric feeding tube in place * Intention of primary medical team to feed the patient enterally
Exclusion criteria
* Expected mortality within 48 hours * Intracranial hemorrhage * Pregnant or breast feeding * Patient, surrogate, or physician not committed to full support * Refractory shock * Unable to obtain enteral access * Presence of partial or complete mechanical bowel obstruction, or ischemia, or infarction * Current total parenteral nutrition (TPN) use, or intent to use TPN within 7 days * Current gastrointestinal bleeding * Requirement for vasopressors
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Inflammatory markers | Up to 28 days | Plasma levels of pro-inflammatory cytokines IL-6 and IL-8, as well as C-reactive protein |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Infectious complications | Up to 28 days | Incidence of infectious disease complications using established diagnostic criteria |
| Intensive Care Unit length of stay | Up to 28 days | A count of the number of days during which patients are resident in the Surgical Intensive Care Unit |
Countries
United States