Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06342895

Interpretation and Optimization of Nutrition in the Intensive Care Units

Led by Dim3 · Updated on 2024-08-12

144

Participants Needed

1

Research Sites

72 weeks

Total Duration

On this page

Sponsors

D

Dim3

Lead Sponsor

B

Baxter Healthcare Corporation

Collaborating Sponsor

AI-Summary

What this Trial Is About

Despite recommendations, inadequate nutritional intake in intensive care unit (ICU) patients remains frequent and can lead to complications such as infections, increased length of stay, prolonged weaning from ventilation, increased long-term mortality, and decreased quality of life after intensive care. Studies have shown that patients only receive up to 50-60% of prescribed calories and proteins due to many factors leading to nutritional support interruptions such as ICU procedures, physical therapy, transport for imaging or invasive procedures outside the ICU, and nutrition intolerance. Furthermore, this discrepancy between prescribed and delivered nutrition may go largely unnoticed, due to issues concerning inadequate manual or automated monitoring of delivered nutrition. A joint "Call to Action" by ASPEN, the Academy of Nutrition and Dietetics, and the American Society of Health-System Pharmacists stated that parenteral nutrition errors and their contributing factors could be prevented by improving the functionality of in-house Clinical Decision Support Systems and the interfaces between electronic health records (EHRs), automated preparation devices and pharmacy systems. Nutrow® is a software package designed to support nutritional management based on the calculation of recommended calorie and protein requirements, real-time calculation and monitoring of calorie and protein prescriptions, real-time calculation and monitoring of calories and protein truly delivered to patients, and information feedback to prescribers. Feedim® is a Medical Device Data System (MDDS), designed by Dim3, which transmits information from enteral feeding pumps to third-party software, such as Nutrow®. The aim of the study is to assess whether the joint use of Nutrow-Feedim improves the achievement of nutritional objectives in ICU patients prior to oral intake by reducing the discrepancy between prescribed and delivered calories and protein.

CONDITIONS

Official Title

Interpretation and Optimization of Nutrition in the Intensive Care Units

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 and over
  • Registered with the French Social Security system
  • First stay in intensive care unit (ICU)
  • Admitted to Lille University Hospital Surgical ICU for at least 3 days
  • Receiving active enteral and/or parenteral nutritional support
  • Patient or next-of-kin informed and consented to participate in the study
Not Eligible

You will not qualify if you...

  • Age under 18
  • Burn patient
  • Admitted to ICU with prior active enteral or parenteral nutrition before day 3, except trophic nutrition
  • Dying patient, not-to-be-resuscitated order, or treatment limitation decision at ICU admission
  • Adult under guardianship
  • Inmate in a department of corrections

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

University Hospital Lille

Lille, France, 59037

Actively Recruiting

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Research Team

E

Eric KIPNIS, MD,PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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