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An Early Enteral Nutrition Protocol in Shanghai

Primary Purpose

Critical Illness, Enteral Feeding Intolerance

Status
Unknown status
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Standard care
Protocol care
Sponsored by
Ruijin Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Critical Illness focused on measuring feeding protocol

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • ICU patients
  • Receiving mechanical ventilation (MV) both Non-invasive ventilation and invasive ventilation
  • Expecting MV more than 72 hours

Exclusion Criteria:

  • Pregnancy
  • ICU stay < 72hr

Sites / Locations

  • Ruijin

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Experimental

Arm Label

Standard care

Protocol care

Arm Description

Standard care: patients receive enteral nutrition in accordance with the usual practice in the participating units

Protocol care: patient receive enteral nutrition in accordance with enteral nutrition protocol studied

Outcomes

Primary Outcome Measures

energy target fulfilling rate
the proportion of patients in both arms meeting the targeted energy in-take
protein target fulfilling rate
the proportion of patients in both arms meeting the targeted protein in-take

Secondary Outcome Measures

mortality
mortality

Full Information

First Posted
July 8, 2017
Last Updated
April 16, 2018
Sponsor
Ruijin Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT03216993
Brief Title
An Early Enteral Nutrition Protocol in Shanghai
Official Title
The Shanghai Protocol for Early Enteral Nutrition in Mechanical Ventilated Patients
Study Type
Interventional

2. Study Status

Record Verification Date
April 2018
Overall Recruitment Status
Unknown status
Study Start Date
December 1, 2018 (Anticipated)
Primary Completion Date
December 31, 2020 (Anticipated)
Study Completion Date
October 1, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Ruijin Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
compare different enteral nutrition strategy in patients with mechanical ventilation
Detailed Description
There has been many evidence that deficiency in energy and protein take-in are associated with poor outcome in critical patients. To reach an adequate amount of energy and protein is critical in patients with respiratory failure and with mechanical ventilation, as it prevents muscle dystrophy and thus prevents ICU acquired weakness, leading to a better outcome in the end. Enteral Nutrition is preferred as it prevents gut dysfunction in respiratory failure patients, and may prevent further infection. But there are many challenge in implement a good enteral nutrition therapy, and energy or protein deficiency is common in patient with respiratory failure. There have been many protocols aiming at reaching enough enteral nutrition for ICU patients, most of which are based on a background of western and developed countries. The investigators developped a enteral nutrition protocol based on an unique cultural background of eastern developing country, trying to help the ICU patients reaching nutrition target, so that the patients may have better outcome.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Critical Illness, Enteral Feeding Intolerance
Keywords
feeding protocol

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
400 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Standard care
Arm Type
Other
Arm Description
Standard care: patients receive enteral nutrition in accordance with the usual practice in the participating units
Arm Title
Protocol care
Arm Type
Experimental
Arm Description
Protocol care: patient receive enteral nutrition in accordance with enteral nutrition protocol studied
Intervention Type
Other
Intervention Name(s)
Standard care
Intervention Description
Standard care: patients receive enteral nutrition in accordance with the usual practice in the participating units
Intervention Type
Other
Intervention Name(s)
Protocol care
Intervention Description
Protocol care: patient receive enteral nutrition in accordance with enteral nutrition protocol studied
Primary Outcome Measure Information:
Title
energy target fulfilling rate
Description
the proportion of patients in both arms meeting the targeted energy in-take
Time Frame
7 days from enrollment
Title
protein target fulfilling rate
Description
the proportion of patients in both arms meeting the targeted protein in-take
Time Frame
7 days from enrollment
Secondary Outcome Measure Information:
Title
mortality
Description
mortality
Time Frame
28 days from enrollment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: ICU patients Receiving mechanical ventilation (MV) both Non-invasive ventilation and invasive ventilation Expecting MV more than 72 hours Exclusion Criteria: Pregnancy ICU stay < 72hr
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Hongping Qu, Doctor
Phone
+8618917762330
Email
qhp10516@rjh.com.cn
First Name & Middle Initial & Last Name or Official Title & Degree
Ming Zhong, Master
Phone
+8613564626325
Email
zm11716@rjh.com.cn
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zhen Er Chen, Doctor
Organizational Affiliation
Ruijin Hospital
Official's Role
Study Chair
Facility Information:
Facility Name
Ruijin
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
20000
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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An Early Enteral Nutrition Protocol in Shanghai

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