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Clinical Trial Summary

The purpose of the present study is to evaluate the effects of a personalized oral diet in the critically ill patients during ICU stay and after as compared usual oral diet.


Clinical Trial Description

This is a prospective randomized controlled single center clinical trial. This trial include patient over 18 year hospitalized in ICU and ventilated more than 5 days and/or with denutrition after 5 days of no food intake in ICU without shock and/or respiratory distress. The randomization is awebsite randomization with stratification on age, presence of sepsis at inclusion, renal failure The day of the resumption of the oral feeding (J0), realization of a protocolized swallowing test then randomization and creation of a control and intervention group

Control group:

- Nutrition in resuscitation according to medical prescription: food recovery with a light meal consisting of soup and desserts and evolution to a normal meal according to the capabilities of patients

- Daily quantification of ingesta (calories and proteins) by a dietitian until the exit resuscitation. Comparison with caloric-protein targets.

- Nutritional evaluation before the release of resuscitation.

Intervention group:

- NAP: "Customized Adapted Nutrition"

- Daily quantification of ingesta (calories and proteins) by a dietitian until the exit resuscitation. Comparison with caloric-protein targets.

- Therapeutic education.

- Nutritional evaluation before the release of resuscitation.

- Creation at the exit of resuscitation of a nutritional linkage sheet with instructions food

The prospects for optimizing oral replenishment are multiple:

- reduce morbidity and mortality within 3 months after a stay in intensive care unit.

- improve autonomy and quality of life after a stay in intensive care.

- improve the privileged relationship with the patients' families.

- strengthen links within the resuscitation team and with downstream services.

- Educate patients on a nutritional level. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT03354260
Study type Interventional
Source University Hospital, Montpellier
Contact
Status Terminated
Phase N/A
Start date April 1, 2017
Completion date March 27, 2018

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