Comparison of Clinical Outcomes According to High-protein Provision in Critically Ill Patients After Abdominal Surgery
NCT06458387 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 152
Last updated 2024-06-13
Summary
Protein malnutrition in critically ill patients is a global concern due to its association with prolonged hospital stays, and higher morbidity rates. Patients who undergo abdominal surgery are particularly vulnerable due to alterations in gastrointestinal function and prolonged fasting. Despite the significance of proper nutrition, the optimal target of protein supplementation remains controversial.
The investigators aimed to evaluate the effects of high protein provision, targeting a protein intake of at least 1.5 g/kg/day for the first 3 days after abdominal surgery, on 6-month mortality.
Conditions
- Protein Malnutrition
Interventions
- DIETARY_SUPPLEMENT
-
Active protein supplementation
The participants in active nutritional supplementation arm received consultation from the nutritional support team (NST) upon ICU admission, and nutritional supplementation was initiated on the same day. NST is a multidisciplinary support team comprised of physicians, nurses, dietitians, and pharmacists, which assesses the nutritional status of patients, and provides recommendations for nutritional therapy. Targets in the participants in active protein supplementation arm were protein supplementation at over 1.5 g/kg/day during first 3 days after ICU admission. Actual body weight was used as the body weight for patients with a percent of ideal body weight (PIBW) of less than 120%, while adjusted body weight was used for patients with a PIBW greater than or equal to 120%.
- DIETARY_SUPPLEMENT
-
Conventional protein supplementation
The participants in conventional protein supplementation arm received conservative nutritional management without specific protein targets.
Sponsors & Collaborators
-
Seoul St. Mary's Hospital
lead OTHER
Principal Investigators
-
Hye sung Kim · The Catholic University of Korea
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-07-31
- Primary Completion
- 2026-01-31
- Completion
- 2027-06-30
Countries
- South Korea
Study Locations
More Related Trials
-
Early Versus Delayed Parenteral Nutrition in Abdominal Surgical Patients
NCT03115957 ·Status: COMPLETED ·Phase: NA
-
Study Comparing Early and Late Nutrition in Cancer Patients Undergoing Abdominal Surgery
NCT01839617 ·Status: UNKNOWN ·Phase: NA
-
Nutritional Perihabilitation in Older Veterans Undergoing Surgery
NCT03073811 ·Status: COMPLETED ·Phase: NA
-
Gradual Versus Immediate Goal-dose Enteral Nutrition in Abdominal Surgery Patients
NCT03117348 ·Status: COMPLETED ·Phase: NA
-
The Impact of Preoperative Nutrition Intervention on Muscle Mass Preserve in Older Adults Undergoing Elective Surgery
NCT07262034 ·Status: NOT_YET_RECRUITING
-
Early Nutrition Impact on Post Abdominal Surgery Outcome
NCT04567641 ·Status: COMPLETED
-
The Effect of Intravenous Nutrition in Patients Undergoing Abdominal Surgery
NCT01414946 ·Status: COMPLETED ·Phase: NA
-
Impact of Caloric and Protein Adequacy on Postoperative Clinical Outcomes of Patients Undergoing Major Abdominal Surgery
NCT03357848 ·Status: UNKNOWN
-
Bolus Versus Continuous Enteral Tube Feeding
NCT04080479 ·Status: COMPLETED ·Phase: NA
-
The Effect of Nutrition-optimized Prehabilitation on Perioperative Intervention in Primary Hepatocellular Carcinoma
NCT06549829 ·Status: RECRUITING ·Phase: NA
-
Oral Protein Supplements for Nutritional and Quality of Life Improvement After Pancreatic Resection in Elderly Patients
NCT06570174 ·Status: COMPLETED ·Phase: NA
-
Postoperative Oral Nutritional Supplementation After Major Gastrointestinal Surgery
NCT01838109 ·Status: COMPLETED ·Phase: NA
-
Continuous Versus Intermittent Enteral Feeding in Critically Ill Patients
NCT02159456 ·Status: UNKNOWN ·Phase: NA
-
The Effect of Preoperative Nutritional Assessment and Nutritional Support on Clinical Outcomes
NCT03115931 ·Status: COMPLETED
-
The Impact of Low Calorie and Low Nitrogen Parenteral Nutrition Support on the Clinical Outcome of Postoperative Patients
NCT00247338 ·Status: COMPLETED ·Phase: PHASE4
-
High Protein Formula on Enteral Feeding in Clinical Improvement and Malnutrition at Intensive Care Unit Patients
NCT04150978 ·Status: COMPLETED ·Phase: NA
-
Effect of Oral Protein Supplementation on Postoperative Complications in Elderly Sarcopenic Cancerous Patients
NCT04306562 ·Status: TERMINATED ·Phase: NA
-
Enteral and Parenteral Feeding in Critically Ill Patients
NCT03277300 ·Status: UNKNOWN
-
The Effects of Preoperative and Postoperative Oral Nutritional Supplements in Malnourished Post-gastrectomy Patients
NCT01421680 ·Status: COMPLETED ·Phase: NA
-
The Effect of High Protein Enteral Nutrition on Critically Ill Postoperative Children
NCT06411873 ·Status: COMPLETED ·Phase: NA
-
Postoperative Electrical Muscle Stimulation Two
NCT06964438 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Efficacy of Preoperative Nutritional Support on Postoperative Outcome in Gastric Cancer Patients at Nutritional Risk by NRS-2002
NCT01830907 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Usefulness of Balanced High Protein Supplementation on Recovery and Clinical Outcomes After Chemotherapy
NCT05938504 ·Status: UNKNOWN ·Phase: NA
-
A Pilot Study of the Effect of High Protein Supplement and Exercise Therapy on Preservation of Skeletal Muscle Mass and Quality of Life in Patients With Gastric Cancer and Pancreatic Cancer Treated With Chemotherapy
NCT05573776 ·Status: COMPLETED ·Phase: NA
-
Effect of Intravenous Nutrition and Epidural Analgesia on Protein Loss After Surgery
NCT00614133 ·Status: COMPLETED ·Phase: NA