Energy and Protein Adequacy of Oral Intake After Ventilator Withdrawal Among Critically Ill Patients.
Study Details
Study Description
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
|
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Criticaly ill patients who remained on invasive mechanical ventilation for at least 48 hours. Criticaly ill patients who remained on invasive mechanical ventilation for at least 48 hours, and dietary followed up after ventilator withdrawal. |
Outcome Measures
Primary Outcome Measures
- 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.
Eligibility Criteria
Criteria
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
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
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Hospital de Clínicas de Porto Alegre | Porto Alegre | Rio Grande Do Sul | Brazil | 90035-003 |
Sponsors and Collaborators
- Hospital de Clinicas de Porto Alegre
Investigators
- Principal Investigator: Juliana P Antonio, PhD, HCPorto Alegre
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2022-0070