Critical Illness Clinical Trial
Official title:
Can Beta-Hydroxy-beta-Methylbutyrate (HMB) Supplementation Counteract Muscle Catabolism in Critically Ill Patients? A Randomized Controlled Trial
The rapid decline of muscle mass and function in mechanically ventilated critically ill patients is associated with prolonged length of mechanical ventilation, prolonged intensive care (ICU) and hospital stay, increased ICU and hospital mortality, and prolonged impairment in physical function and quality of life. High protein feeding only partially attenuates the muscle loss. The aim is to study the impact of HMB (3 g/day) on the muscle mass of the critically ill patients from day 4 of their admission to maximum 30 days, but at least for 10 days.
The rapid decline of muscle mass and function in mechanically ventilated critically ill
patients is associated with poor outcome, and limitations of functional recovery. High
protein feeding only partially attenuates the muscle loss. The aim is to study the impact of
HMB (3 g/day) on the muscle mass of the critically ill patients from day 4 of their admission
to maximum 30 days, but at least for 10 days. The study is testing a nutrition complement
(HMB) that is included in feeding products registered for medical nutrition by Swiss Federal
Authorities, but who do not provide sufficient protein quantities.
On days 4 and 15 after ICU admission, specific investigations will include: Ultrasound
measurement of the muscle quadriceps femoris (CSA), bioimpedance analysis (BIA) of body
composition, protein synthesis and catabolism using amino acid tracers. On D30 and D60:
telephone contact to assess global health and mobility (SF-12).
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