Het voordoen van tolerantieproblemen bij sondevoeding gastrointestinal intolerance in critically ill patients
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age >
Exclusion criteria
Exclusion criteria: - Requiring other tube feed for medical reason; - Not suitable for tube feeding; - Allergy or intolerance for cow*s milk protein, soy or pea protein; - Gastrointestinal disease such as Crohn*s or Ulcerative Colitis or other conditions affecting absorption such as short bowel syndrome; - Pancreatic, liver or renal failure; - Sequential organ failure assessment (SOFA) score >12 within first 24 hours after admission; - Being pregnant; - Participating in another clinical intervention trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| No primary outcome is defined, because gastrointestinal tolerance cannot be described by one single symptom (Reintam Blaser 2014). The main outcome parameter is gastrointestinal tolerance measured by: - Time period till first defecation since start study product - Defecation frequency - Defecation consistency based on Bristol Stool Form Scale (BSFS) - Incidence of diarrhoea, constipation and vomiting - Daily gastric residual volume - Daily intake of study product - Daily energy and protein intake from study product | — |
Secondary
| Measure | Time frame |
|---|---|
| Other parameters in this study are: - Faecal weight and consistency based on King*s Stool Chart - Duration of ICU stay - Length of hospital stay - Ventilator free days - ICU, hospital and 28-day mortality - SOFA (sub) score(s) - Gastric pH - Serum concentration of amino acids - Protein absorption | — |
Countries
Netherlands, United Kingdom