The goal of this clinical trial is to test the impact of serum phosphorus level optimization on weaning from mechanical ventilation in adult ICU patients in Alexandria University Hospitals. The main questions it aims to answer are: * Does serum phosphorus level optimization affect the duration of mechanical ventilation? * Is serum phosphorus level optimization associated with successful weaning from mechanical ventilation? In critically ill patients, phosphorus supplementation is done using Sodium glycerophosphate pentahydrate solution.
Investigators will document patients' data in terms of independent variables and will randomly allocate the participants into one of the two study groups mentioned below. * Control group, defined by maintaining serum phosphorus level at ≥ 2.5 and \< 3.5 mg/dL. * Intervention group, defined by optimization of serum phosphorus P to ≥ 3.5 and ≤ 4.5 mg/dL (Average 4mg/dL). Regression and comparative statistics will be used to determine whether the optimum serum phosphorus level offers a benefit in terms of the duration of mechanical ventilation and the success of weaning from mechanical ventilation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
124
Glycophos is a 20 ml vial of Sodium glycerophosphate pentahydrate containing 1 mmol glycerophosphate and 2 mmol sodium per ml
Alexandria University
Alexandria, Egypt
The duration of mechanical ventilation.
Comparison of mechanical ventilation days for patients in the two study groups.
Time frame: 4 months
Weaning from mechanical ventilation.
Association of serum phosphorus level optimization to ≥ 3.5 and ≤ 4.5 mg/dL with success of weaning from mechanical ventilation.
Time frame: 4 months
Length of ICU stay
Change in the ICU length of stay in the intervention group with respect to the control group
Time frame: 4 months
ICU mortality
Change in the ICU mortality in the intervention group with respect to the control group.
Time frame: 4 months
Cost effectiveness analysis
Cost-effectiveness analysis of serum phosphorus level optimization.
Time frame: 4 months
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