The purpose of the present study is to evaluate the effects of a personalized oral diet in the critically ill patients during ICU stay and after as compared usual oral diet.
This is a prospective randomized controlled single center clinical trial. This trial include patient over 18 year hospitalized in ICU and ventilated more than 5 days and/or with denutrition after 5 days of no food intake in ICU without shock and/or respiratory distress. The randomization is awebsite randomization with stratification on age, presence of sepsis at inclusion, renal failure The day of the resumption of the oral feeding (J0), realization of a protocolized swallowing test then randomization and creation of a control and intervention group Control group: * Nutrition in resuscitation according to medical prescription: food recovery with a light meal consisting of soup and desserts and evolution to a normal meal according to the capabilities of patients * Daily quantification of ingesta (calories and proteins) by a dietitian until the exit resuscitation. Comparison with caloric-protein targets. * Nutritional evaluation before the release of resuscitation. Intervention group: * NAP: "Customized Adapted Nutrition" * Daily quantification of ingesta (calories and proteins) by a dietitian until the exit resuscitation. Comparison with caloric-protein targets. * Therapeutic education. * Nutritional evaluation before the release of resuscitation. * Creation at the exit of resuscitation of a nutritional linkage sheet with instructions food The prospects for optimizing oral replenishment are multiple: * reduce morbidity and mortality within 3 months after a stay in intensive care unit. * improve autonomy and quality of life after a stay in intensive care. * improve the privileged relationship with the patients' families. * strengthen links within the resuscitation team and with downstream services. * Educate patients on a nutritional level.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
10
Optimized personalized oral nutrition in ICU and nutritional follow up with therapeutic educational after exit of ICU
University Hospital
Montpellier, France
Impact on the weight 3 months after the renewal of oral intakes
Decrease of weight variation 3 months after the renewal of oral intakes
Time frame: at 90 days
weight at D30
weight on the 30th day after renewal of oral intakes
Time frame: at 30 days
mortality at D30
mortality on the 30th day after renewal of oral intakes
Time frame: at 30 days
mortality at D90
mortality on the 90th day after renewal of oral intakes
Time frame: at 90 days
length of stay in Intensive car unit
number of days in Intensive car unit in 3 months after renewal of oral intakes
Time frame: until the 90th day
length of stay in Hospital
number of days in Hospital in 3 months after renewal of oral intakes
Time frame: until the 90th day
length of stay in rehabilitation center
number of days in rehabilitation center in 3 months after renewal of oral intakes
Time frame: until the 90th day
infectious and non infectious complications
number and type of complication in 3 months after renewal of oral intakes
Time frame: until the 90th day
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quality of life and autonomy
score of autonomy Katz Score from 0 to 6
Time frame: at 15 days
quality of life and autonomy
SF 36 Score from 0 to 100
Time frame: at 15 days
quality of life and autonomy
score of autonomy Katz Score from 0 to 6
Time frame: at 30 days
quality of life and autonomy
SF 36 Score from 0 to 100
Time frame: at 30 days
quality of life and autonomy
score of autonomy Katz Score from 0 to 6
Time frame: at 60 days
quality of life and autonomy
SF 36 Score from 0 to 100
Time frame: at 60 days
quality of life and autonomy
score of autonomy Katz Score from 0 to 6
Time frame: at 90 days
quality of life and autonomy
SF 36 Score from 0 to 100
Time frame: at 90 days