Reducing In-Hospital and 60-Day Mortality in ICU Patients After Surgery With Strict Nutritional Supplementation
Protein-Energy Malnutrition
About this trial
This is an interventional treatment trial for Protein-Energy Malnutrition
Eligibility Criteria
Inclusion Criteria: Patients admitted after abdominal surgery to our institution's surgical ICU They were enrolled regardless of the surgical method, either open, laparoscopy, or robotic. Exclusion Criteria: aged under 18 years underwent surgery under local or regional anesthesia pregnant readmitted to the ICU diagnosed with renal failure and receiving renal replacement therapy lacked individual data necessary to calculate the mNUTRIC score measured at ICU admission failed to provide informed consent, or with 'do-not-resuscitate' status. the patient was discharged or expired within 48 hours of ICU admission patients diagnosed with multiorgan failure, represented by a high Sequential Organ Failure Assessment (SOFA) score (≥9) upon ICU admission
Sites / Locations
- Division of Trauma and Surgical Critical Care, Department of Surgery, Seoul St. Mary's Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Active nutritional supplementation
Conventional nutritional supplementation
The participants in active nutritional supplementation arm received nutritional support targeting specific protein (over 1.5 g/kg/day) and calorie intake (over 20 kcal/kg/day), with consultation from the nutritional support team and the initiation of nutritional supplementation on the same day as intensive care unit admission.
The participants in conventional nutritional supplementation arm underwent conventional nutrition management without specific protein or caloric targets.