Stroke Clinical Trial
Official title:
The Effect of Time-restricted Enteral Nutrition on the Prognosis of Severe Stroke Patients: a Multicentre, Prospective, Randomised, Open-label, Blinded-endpoint Trial
In patients with severe stroke whose GCS score is ≤12 points or NIHSS score is ≥11 points, to evaluate whether time-restricted enteral nutrition can improve the incidence of poor 90-day prognosis (mRS ≥3 points) compared with continuous enteral nutrition.
Status | Recruiting |
Enrollment | 420 |
Est. completion date | October 1, 2025 |
Est. primary completion date | March 1, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: - Age =18 years old and <80 years old; - Cerebral parenchymal hemorrhage or cerebral infarction within 72 hours of onset; - GCS score =12 points or NIHSS score =11 points on admission, - Enteral nutrition is planned, and the estimated enteral nutrition treatment time is =7 days; - Signed informed consent form. Exclusion Criteria: - Complete parenteral nutrition is required due to contraindications to enteral nutrition; - After gastrectomy or intestinal resection; - Enteral nutrition treatment has been performed for >12 hours; - Accompanying diseases: a. Advanced cancer; b. Severe cardiac insufficiency [ejection fraction = 50%]; c. Severe liver failure [Child Pugh score = 7]; d. Severe renal failure [glomerular filtration] rate = 30 mL/min or serum creatinine = 4 mg/dL]) - Have a history of mental illness or mRS = 3 points; - The patient's doctor or nutritional therapist believes that the plan is not in the best interest of the patient; - During the patient's admission, death is inevitable, and there are underlying diseases that result in a survival time of <90 days; - The patient participates in another clinical study. |
Country | Name | City | State |
---|---|---|---|
China | The first affliated hospital of Wannan medical college | Wuhu |
Lead Sponsor | Collaborator |
---|---|
First Affiliated Hospital of Wannan Medical College |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Poor 90-day functional prognosis | mRS = 3 points | 90-day | |
Secondary | GCS score at discharge | Glasgow Coma Scale,the score ranges from 3-15. The lower the score, the greater the impairment of consciousness | average of 32-day | |
Secondary | NIHSS score at discharge | NIH Stroke Scale,the score ranges from 0~42 points, and the higher the score, the more severe the nerve damage | average of 32-day | |
Secondary | mRS score at discharge | Modified Rankin Scale,the score ranges from 0~6 levels,and the higher the score, the more severe outcome | average of 32-day | |
Secondary | Barthel index at discharge | Barthel index at discharge | average of 32-day | |
Secondary | 90-day Barthel Index | 90-day Barthel Index | 90-day | |
Secondary | ICU length of stay | ICU length of stay | 13-day | |
Secondary | total length of stay | total length of stay | average of 32-day | |
Secondary | Nutritional status | albumin, prealbumin, hemoglobin, transferrin levels | 7-day,14-day,28-day | |
Secondary | Electrolyte levels | serum potassium, serum sodium, serum phosphorus, serum magnesium levels | 7-day,14-day,28-day |
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