Clinical trial NCT04958447: Nutritional Management in Respiratory Critically Ill Patients -an Observational Study in Mainland China
Official title: Nutritional Management in Respiratory Critically Ill Patients -an Observational Study in Mainland China
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Nutritional Deficiency
Keywords: Nutritional Management
Respiratory Critically Ill Patients
Enteral Nutrition
Lead sponsor: China-Japan Friendship Hospital
Sponsor class: OTHER
Collaborators: name: Longyan First Affiliated Hospital of Fujian Medical University
name: First Affiliated Hospital of Wenzhou Medical University
name: Peking University International Hospital
name: Peking University People's Hospital
name: Peking University Shougang Hospital
name: Beijing Jingmei Group General Hospital
name: Beijing Fangshan District Liangxiang Hospital
name: Beijing Hospital
name: Beijing Coal Group General Hospital
name: Beijing Rehabilitation Hospital, Capital Medical University
name: Beijing 302 Hospital
name: Cangzhou People's Hospital
name: Cangzhou Central Hospital
name: Affiliated Hospital of Chengde Medical University
name: Huan'an First People's Hospital
name: The First Affiliated Hospital of Hebei North University
name: Hebei Sheng Xiong Ke Yi Yuan
name: The Second Hospital of Hebei Medical University
name: Affiliated Hospital of North China University of Science and Technology
name: First Hospital of Shijiazhuang City
name: Tangshan Central Hospital
name: Zhuozhou Hospital
name: Second Hospital of Jilin University
name: The First Hospital of Jilin University
name: The General Hospital of Northern Theater Command
name: The Affiliated Zhongshan Hospital of Dalian University
name: Dalian Municipal Central Hospital
name: The First Affiliated Hospital of Dalian Medical University
name: Affiliated Central Hospital of Shenyang Medical College
name: The Fourth Affiliated Hospital of China Medical University
name: First Hospital of China Medical University
name: Tianjin Medical University General Hospital
name: Tianjin Chest Hospital
name: Tianjin Medical University Second Hospital
name: Special Medical Center of the Armed Police Force
name: The Second People Hospital of Wuhu
name: The First Affiliated Hospital of Anhui Medical University
name: Meizhou People's Hospital
name: The General Hospital of Southern Theater Command
name: First Affiliated Hospital, Sun Yat-Sen University
name: Hainan People's Hospital
name: The First Affiliated Hospital of Zhengzhou University
name: The General Hospital of Eastern Theater Command
name: Huai an First People Hospital
name: Subei People's Hospital of Jiangsu Province
name: The First People's Hospital of Lianyungang
name: Nanjing No.1 Hospital
name: The Affiliated Jiangning Hospital of Nanjing Medical University
name: Second Affiliated Hospital of Soochow University
name: The First Affiliated Hospital of Soochow University
name: Suzhou Municipal Hospital
name: Suzhou Hospital of Traditional Chinese Medicine
name: Jiangxi Provincial People's Hopital
name: Second Affiliated Hospital of Nanchang University
name: The First Affiliated Hospital of Nanchang University
name: Shaanxi Provincial People's Hospital
name: First Affiliated Hospital Xi'an Jiaotong University
name: Xijing Hospital
name: Sichuan Provincial People's Hospital
name: No.2 People Hospital of Fuyang City
name: The Second Hospital of Anhui Medical University
name: The First Affiliated Hospital of Bengbu Medical University
name: Tongji Hospital
name: Jingzhou Central Hospital
name: Wuhan University
name: Wuhan Central Hospital
name: Central Command General Hospital
name: Second Xiangya Hospital of Central South University
name: The Third Xiangya Hospital of Central South University
name: Xiangya Hospital of Central South University
name: Heze Municipal Hospital
name: Qingdao Central Hospital
name: Taian City Central Hospital
name: Yantai Yuhuangding Hospital
name: Zibo First Hospital
name: Huashan Hospital
name: Fudan University
name: Ruijin Hospital
name: Dongfang Hospital Affiliated to Tongji University
name: Changhai Hospital
name: Henan Provincial People's Hospital
name: The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
name: Taikang Xianlin Drum Tower Hospital
name: Xinqiao Hospital of Chongqing
name: The First People Hospital of Nantong City
name: Wuxi People's Hospital
name: The First People's Hospital of Changzhou
name: The First People's Hospital of Yunnan
name: People Hospital of Dali Bai Autonomous Prefecture
name: First Affiliated Hospital of Kunming Medical University
name: The Second Affiliated Hospital of Air Force Military Medical University
name: The 306 Hospital of People's Liberation Army
name: The Sixth Central Hospital of PLA
name: Peking University Third Hospital
name: People's Hospital of Xinjiang Uygur Autonomous Region
name: China Rehabilitation Research Center
name: The Third People Hospital of Datong
name: Dezhou People's Hospital
First posted: 2021-07-12
Enrollment: 1000
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: The patients admitted to RICU

Brief summary: The important role of nutritional management in the treatment of ICU patients has been paid more and more attention. Reasonable nutritional management can improve the nutritional status of patients, reduce the risk of malnutrition, shorten the length of ICU stay, improve the quality of life of patients, and reduce the mortality of patients, thereby improving the prognosis. Many studies have investigated the nutritional status and implementation of ICU patients. It is generally believed that the nutritional status of ICU patients is not good, and the implementation of standardization needs to be improved.The data on the nutritional status and implementation of RICU patients in mainland China is rare. Therefore, the main purpose of this study is to investigate the implementation and compliance of nutritional support treatment for RICU patients in mainland China.

Detailed description: Respiratory critically ill patients have their own disease metabolism and treatment methods. However, RICU medical staff generally do not pay enough attention to nutrition support treatment. The data on the nutritional status and implementation of RICU patients in China is rare. But the data plays an important role in carrying out nutrition-related research, formulating the goals of continuing education programs for nutrition support treatment, guiding the introduction of medical insurance policies and the revision of consensus. Therefore, the main purpose of this study is to investigate the implementation and compliance of nutritional support treatment for RICU patients in tertiary hospitals in mainland China, so as to lay the foundation for further relevant work.

Eligibility criteria: Inclusion Criteria:

* patients aged \>18 years
* the length of RICU stays \>48 hours

Exclusion Criteria:

* patients aged ≤18 years
* the length of RICU stays ≤48 hours
* patients who were admitted to RICU due to or combined with severe trauma or surgery

Primary outcomes:
measure: Proportion of enteral nutrition starting within 48 hours after ICU entry
timeFrame: 48 hours
Secondary outcomes:
measure: Nutritional status and risk of malnutrition on ICU admission
timeFrame: 48 hours
measure: The proportion of subjects receiving>80% estimated energy target within 7 days after ICU entry
timeFrame: 7 days
measure: The proportion of enteral nutrition intolerance
timeFrame: 48 hours
Other outcomes:
Locations:
city: Beijing
country: China
facility: China-Japan Friendship hospital
state: Beijing
Study officials:
References: