NCT01749488

The Impact of a Dietitian in the Implementation of Nutrition Recommendations During Intensive Care

The Impact of Involving a Dietitian in the Implementation of Expert Recommendations Concerning Nutrition During Intensive Care on Energy Balance

• Status: Withdrawn
• Phase: N/A
• Study type: Interventional
• Enrollment: 0 (actual)
• Sponsor: Centre Hospitalier Universitaire de Nīmes · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The main objective of this study is to evaluate the impact of the intervention of a dietician on the energy balance accumulated over seven days of intensive care. Energy balance is defined as the difference between the target recommended energy and total calorie intake actually received. This is a randomized-cluster study; participating centers are randomized into experimental and control groups.

Detailed description

The secondary objectives of this study are to compare the impact of the intervention of a dietician on: * daily and accumulated energy balance at the end of the intensive care unit (ICU) stay * deficits in protein intake per day, accumulated over 7 days, and accumulated for the ICU stay * intake of vitamins, trace elements and pharmaco-nutrients per day * predominant route of nutrition administration (enteral / parenteral / mixed) * the course of the stay: duration of mechanical ventilation, organ failure, the ICU stay, number of days on antibiotics * the presence / absence of complications: mortality, on catheter bacteremia, ventilator acquired pneumonia, other infections, bedsores, episodes of hyper-or hypoglycemia * presence/absence of diarrhea * costs related to the management of malnourished patients in terms of enteral and parenteral nutritional therapy, dietary supplements, antibiotics and sedatives as well as the costs of ICU stay and those related to diarrhea and sores

Conditions

• Intensive Care

Interventions

Type	Name	Description
OTHER	Designated dietitian for the ward	This is a randomized cluster trial. The centers randomized into this arm will designate a dietitian who will help the ward implement current recommendations for the nutrition of patients undergoing intensive care.

Timeline

• Start date: 2015-10-01
• Primary completion: 2017-10-01
• Completion: 2018-04-01
• First posted: 2012-12-13
• Last updated: 2016-08-03