A retrospective study of protein intake and needs as well as outcomes in critically ill adult patients. Data will be collected for up to 7 days of ICU stay.
This retrospective study of critically ill adults receiving enteral nutrition will assess the ability to meet estimated protein and energy needs via enteral nutrition.
Study Type
OBSERVATIONAL
Enrollment
2,000
Geisinger Medical Center
Danville, Pennsylvania, United States
Geisinger Community Medical Center, Scranton, PA
Scranton, Pennsylvania, United States
Geisinger Wyoming Valley Medical Center
Wilkes-Barre, Pennsylvania, United States
Daily protein intake (from Parenteral Nutrition, Enteral Nutrition, oral diet, and medication)
Time frame: Daily up to 7 days of ICU stay
Enteral formula utilized (Standard, High protein, Very high protein)
Time frame: Daily up to 7 days of ICU stay
Daily caloric intake (from Parenteral Nutrition, Enteral Nutrition, oral diet, and medication)
Time frame: Daily up to 7 days of ICU stay
Estimated caloric needs (Kcal/day)
Time frame: Daily up to 7 days of ICU stay
Method for estimating caloric needs (descriptive name of scale) calorie needs met.
Time frame: Daily up to 7 days of ICU stay
Percentage of daily caloric needs met (%) calorie needs met.
Time frame: Daily up to 7 days of ICU stay
Estimated protein needs (grams protein/day)
Time frame: Daily up to 7 days of ICU stay
Method for estimating protein needs (descriptive name of scale)
Time frame: Daily up to 7 days of ICU stay
Percentage of daily protein needs met (%)
Time frame: Daily up to 7 days of ICU stay
Laboratory values (Blood Urea Nitrogen)
Time frame: Daily up to 7 days of ICU stay
Laboratory values (Creatinine)
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Time frame: Daily up to 7 days of ICU stay
Laboratory values (Aspartate aminotransferase)
Time frame: Daily up to 7 days of ICU stay
Laboratory values (Alanine transaminase)
Time frame: Daily up to 7 days of ICU stay
Laboratory values (Glucose)
Time frame: Daily up to 7 days of ICU stay
Laboratory values (Ammonia)
Time frame: Daily up to 7 days of ICU stay
Gastrointestinal side effects observed in enterally fed patients in the ICU
Time frame: Daily up to 7 days of ICU stay
Insulin use
Time frame: Daily dose up to 7 days of ICU stay
Health Outcomes (Renal failure, Seizures, Encephalopathy, Hyperglycemia, Hypoglycemia)
Time frame: Daily up to 7 days of ICU stay
Utilization of renal replacement therapy (Yes/No)
Time frame: Daily up to 7 days of ICU stay
Utilization of medications to manage hepatic encephalopathy (lactulose) (Yes/No)
Time frame: Daily up to 7 days of ICU stay
Neurocognitive status (Glasgow Coma Scale)
Time frame: Daily up to 7 days of ICU stay
Presence of delirium (Yes/No)
Time frame: Daily up to 7 days of ICU stay
ICU Length of Stay
Time frame: Up to 90 Days
Hospital Length of Stay
Time frame: Up to 90 Days
Ventilator days
Time frame: Up to 90 Days
Antibiotic therapy days
Time frame: Up to 90 Days
30 day readmission
Time frame: Incidence up to 30 days post discharge
Death during hospitalization (Yes/No)
Time frame: Through study completion, assessed an estimated 36 months
Destination for discharge (home, another acute care hospital, Long Term Acute Care, rehabilitation center, nursing home)
Destination of Discharge will be assessed via chart review.
Time frame: Through study completion, assessed an estimated 36 months
Discharge against medical advice (Yes/No)
Time frame: Through study completion, assessed an estimated 36 months