Critical Illness, Dietary Modification
Conditions
Brief summary
This is a retrospective study of protein and energy intake in enterally fed critically ill adult patients before and after the introduction of a very high protein enteral nutrition formula in a single center medical/surgical ICU.
Interventions
None listed
Sponsors
Hamilton Health Sciences Corporation
Société des Produits Nestlé (SPN)
Study design
Observational model
OTHER
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients ≥ 18 years of age, mechanically ventilated * Received enteral nutrition for a minimum of five days during the first week of ICU admission
Exclusion criteria
* Received parenteral nutrition during first week of ICU admission * Acute renal failure not dialyzed * Hepatic encephalopathy grade 3 or 4 * Intentional underfeeding/trophic feeding - including refeeding syndrome
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Daily total protein intake | Daily up to 7 days of ICU stay | Daily total protein intake and percent prescribed protein needs met during first week of ICU admission. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Daily caloric intake - kcal/kg | Daily up to 7 days of ICU stay | Total volume consumed and weight will be used to measure kcal/kg |
| Daily caloric intake from enteral nutrition | Daily up to 7 days of ICU stay | Daily caloric intake from enteral nutrition, and medications (i.e. Propofol) |
| Percentage of prescribed calorie needs met | Daily up to 7 days of ICU stay | Percentage of prescribed calorie needs met |
| Daily caloric intake - Total Calories | Daily up to 7 days of ICU stay | Total calories aggregate from all sources |
| Use of inotropes/vasopressors (highest daily dose prescribed) | Daily up to 7 days of ICU stay | Use of inotropes/vasopressors will be documented as a Yes/No. |
| Feeding tolerance | Daily up to 7 days of ICU stay | Feeding tolerance as recorded by clinicians in electronic medical record/nursing flow sheets \[gastrointestinal side effects observed and documented: vomiting, elevated Gastric Residual Volumes (\>200 mL), aspiration, pneumonia, diarrhea (Bristol stool chart definition and ≥ 3 liquid stools/day)\] |
| Feeding interruptions | Daily up to 7 days of ICU stay | Feeding interruptions; and reason for interruption, if recorded in electronic medical record/nursing flow sheets |
Countries
Canada
Outcome results
None listed