This study aims to evaluate the efficiency of intermittent enteral nutrition versus continuous enteral nutrition to prevent from organ failures for patients at the acute phase of sepsis shock with mechanical ventilation in ICU.
Some pre-clinical and observational studies have suggested that intermittent fasting may have a positive impact on patients in ICU by increasing protein synthesis, sensibility to insulin, cetogenesis, autophagy by respecting the circadian rhythm. This study aims to evaluate the impact on organ failures of an intermittent enteral nutrition versus continuous enteral nutrition in patients at the acute phase of sepsis shock with mechanical ventilation in the ICU.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
174
Patients will receive intermittent enteral nutrition, defined as 3 60-minute administrations every 8 hours.
CHU de Rouen
Rouen, France, France
RECRUITINGEvolution of variation of the SOFA (Sepsis-related organ failure assessment) score.
Comparison of variation of the SOFA score between patients with intermittent nutrition versus patients with continuous nutrition.
Time frame: day-1 (nutrition start) and day-7
evaluation of caloric intake
evaluation of caloric intake (kcal/day)
Time frame: from day-1 (nutrition start) to day-7
evaluation of protein intake
evaluation of protein intake (g/kg/day)
Time frame: from day-1 (nutrition start) to day-7
Measurement of nutritionnal status
measurement of weight (kg)
Time frame: day-1 (nutrition start) and day-7
Evaluation of the digestive tolerance
Number of vomit (number)
Time frame: from day-1 (nutrition start) to day-7
Evaluation of the nosocomial infections
Type of infection
Time frame: from day-1 (nutrition start) to day-7
Adverse events
Number of adverse event
Time frame: from day-1 (nutrition start) to day-7
Evaluation of the metabolic response
metabolomics analysis (96 proteins assay)
Time frame: day 1, day 4 and day 7
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Evaluation of the duration of hospitalisation
number of days at hospital
Time frame: day 1 to day 90
Evaluation of the intensive care neuromuscular weakness
MRC score
Time frame: Up to day 10
Evaluation of death
Death data collection
Time frame: from day 1 to day 90
Evaluation of quality of life
SF-36 score
Time frame: up to day 90