Status:

COMPLETED

High Protein Intake and Early Exercise in Adult Intensive Care Patients

Lead Sponsor:

Hospital Sao Domingos

Conditions:

Critically Ill Patients

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This study analyse the impact of high protein intake associated to early programed exercise on functional outcomes of adult intensive care patients.

Detailed Description

The muscle weakness associated to intensive care, one of the components of Post Intensive Care Syndrome (PICS) has a significant impact on the short-term and long-term outcomes in the critically ill p...

Eligibility Criteria

Inclusion

  • We will include 180 consecutive patients admitted to one of the study ICUs
  • Aged 18 years or above.
  • Non-pregnant.
  • Requiring mechanical ventilation for at least 48 hours.
  • Expected ICU stay higher than 3 days.

Exclusion

  • Inability to walk without assistance before the acute illness that led to ICU admission (use of gait aid is not an exclusion criterion).
  • Cognitive impairment prior to hospitalization described by relatives and evaluated by the ICU psychology team.
  • Neuromuscular diseases that compromise weaning from mechanical ventilation.
  • Acute pelvic fracture.
  • Unstable spinal cord trauma.
  • Patients considered moribund.
  • In some situations patients will not be included in the resistive exercise program for as long as a temporary limiting factor remains:
  • Patients undergoing neuromuscular blocking drugs.
  • Patients under high-dose vasoactive drug use.
  • Mechanical ventilation with FIO2 (fraction of inspired oxygen) ≥ 60% and / or PEEP (positive end-expiratory pressure)\> 12 cm H2O.
  • Intracranial hypertension.
  • . Open abdomen.
  • Status epilepticus.

Key Trial Info

Start Date :

June 1 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 31 2020

Estimated Enrollment :

180 Patients enrolled

Trial Details

Trial ID

NCT03469882

Start Date

June 1 2018

End Date

July 31 2020

Last Update

July 30 2021

Active Locations (1)

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Icu Hospital Sao Domingos

São Luís, Maranhão, Brazil, 65060-645