Smart Phone Application for Enteral Nutrition

Nutritional and Metabolic Diseases Clinical Trial

Official title:

Smart Phone/Device Application to Improve Delivery of Enteral Nutrition in Adult Patients Admitted to the Medical Intensive Care Unit

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03419299
• Other study ID #: OU 4496
• Status: Completed
• Start date: June 2015
• Est. completion date: July 2017

Study information

• Verified date: June 2019
• Source: University of Oklahoma
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Internal medicine resident physicians were provided an ipod with the EN application to assist them in choosing EN formulas for patients during their ICU rotation. The primary outcome was improved initiation of EN within 24 hours of admission. Secondary outcomes include, time to initiate EN, goal calories reached, infections rates, length of stay, mortality, and concordance with clinical guidelines.

Description:

Background: Resident physicians are frequently uncomfortable ordering enteral nutrition (EN) and are unaware of the variety of formulas and supplements available for different disease processes. Many depend on a clinical dietitian to assist with recommending EN formulas and patient energy requirements which may not be readily available upon patient admission. This creates a barrier to early initiation of EN and non-compliance with Society of Critical Care Medicine and American Society of Parenteral and Enteral Nutrition clinical guidelines. Objective: Internal medicine resident physicians were provided an ipod with the EN application to assist them in choosing EN formulas for patients during their ICU rotation. The primary outcome was improved initiation of EN within 24 hours of admission. Secondary outcomes include, time to initiate EN, goal calories reached. Design: This study is a retrospective chart review to evaluate the impact of a smart phone/device application (EN application) to assist resident physicians when ordering EN. The study is a single center trial conducted at an academic teaching facility. All patient data was obtained by a retrospective chart review of patients admitted to the intensive care unit (ICU) at The University of Oklahoma Medical Center.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 376
• Est. completion date: July 2017
• Est. primary completion date: July 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 90 Years

Eligibility

Inclusion Criteria:

1. Admitted to the ICU

2. Require Mechanical Ventilation

3. Physician plans to order enteral nutrition for the patient

Exclusion Criteria:

1. Death likely within 24 hours

2. Needing parenteral nutrition

3. Cannot tolerate enteral nutrition for any reason

Related Conditions & MeSH terms

• Metabolic Diseases
• Nutritional and Metabolic Diseases

Intervention

Other:
• Tube Feeding Application
A smart device application was developed and used to help residents determine the best enteral nutrition prescription for patients admitted to the ICU

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University of Oklahoma

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The primary outcome was improved initiation of EN within 24 hours of admission	percent of patients with enteral nutrition ordered within 24 hours of admit compared to all patients admitted	The time frame does involve a change in practice. The change is introduction of a smart app- 12 months prior to the smart device being used in the ICU by residents and 12 months during which the smart application was use by the ICU residents
Secondary	Total time to initiate EN	total hours between admit and when enteral nutrition is ordered	The time frame does involve a change in practice. The change is introduction of a smart app- 12 months prior to the smart device being used in the ICU by residents and 12 months during which the smart application was use by the ICU residents
Secondary	Percent of goal calories received prior to discharge from ICU	percent of calories received (a percent of the total recommended calories for the patient)	The time frame does involve a change in practice. The change is introduction of a smart app- 12 months prior to the smart device being used in the ICU by residents and 12 months during which the smart application was use by the ICU residents