Critical Illness, Nutritional Imbalance
Conditions
Brief summary
The aim of this study is to evaluate the adequacy of exclusive oral intake, in terms of energy-protein amount, after extubation in critically ill patients who remained on invasive mechanical ventilation for at least 48 hours.
Detailed description
A prospective observational study. The adequacy of exclusive oral consumption will be assessed in a consecutive sample of critically ill patients after ventilator removal by visual intake scale in 0%, 25%, 50%, 75%, or 100% of principal meals, i.e., lunch and dinner, during seven days after recruitment. To characterize the study population, general characteristics of patients and their hospital outcomes will be collected: sociodemographic (age, sex, ethnicity, education) and admission clinical data (weight, height, Simplified Acute Physiology Score 3, Nutritional Risk Screening, and Subjective Global Assessment), energy and protein intake within 72 hours after initiation of invasive mechanical ventilation, the underlying disease that led to hospitalization, length of stay in the ICU, length of invasive mechanical ventilation and hospital stay, the incidence of infections after ICU discharge and in-hospital death.
Interventions
None listed
Sponsors
Hospital de Clinicas de Porto Alegre
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult critically ill patients * Mechanical ventilation for at least 48 hours and who migrate to exclusively oral feeding within seven days after extubation without receiving complementary parenteral or enteral nutrition. * Admitted to the ICU in Hospital de Clínicas de Porto Alegre from March 2022 to October 2022.
Exclusion criteria
* Pregnancy * Occurrence of major abdominal surgery during ICU stay * Tracheostomized patients * Patients unable to start an oral diet after extubation. * Patients previously included in the study. * Patients seeking exclusive palliative care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adequacy of oral intake after extubation on critical ill patients | 7 months | Oral food intake by an adapted visual intake scale in which the patient or nursing team will indicate intake at 0%, 25%, 50%, or 75 to 100% of principal meals, i.e., lunch and dinner, during seven days after recruitment. |
Countries
Brazil
Contacts
Primary ContactJuliana P Antonio, PhD
Backup ContactAna Carolina P Antonio, PhD
Outcome results
None listed