Nutrition Clinical Trial
Official title:
Personalized Adapted Diet and Nutritional Follow-up With Therapeutic Education in Critically Ill Patients : Impact on Calorie and Protein Deficit, on Weight, Mortality, and Quality of Life
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.
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.
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