CompletedPhase 3Phase 4ACTRN12608000407392

Australian and New Zealand Cluster Randomised trial of Evidence-based Guidelines for Nutrition Support in Critical Illness

Cluster randomised trial evaluating the impact on mortality of evidence based guidelines for nutritional support in critical illness

Sponsor

Dr Gordon Doig

Enrollment

1,500 participants

Start Date

Apr 1, 2003

Study Type

Interventional

Conditions

Critical illness, fasting, starvation, malnourishment

Summary

Nutritional support is accepted as a standard of care for critically ill patients although there is little agreement as to how it is best provided. Use of evidence-based guidelines has been shown to improve the effectiveness of care. The purpose of this project is to develop, promote and evaluate evidence-based clinical practice guidelines for nutritional support in the ICU in twenty-six hospitals throughout Australia and New Zealand. One half of the hospitals will be randomised to receive educational sessions based on the content of the guidelines using previously proven and accepted educational strategies. A cluster randomised trial will then evaluate the impact of these educational sessions on acceptance of the guideline and on patient outcomes.

Eligibility

Sex: Both males and femalesMin Age: 18 Yearss

Plain Language Summary

Simplified for easier understanding

This study is testing whether following evidence-based nutrition guidelines improves outcomes for critically ill patients in intensive care. Proper nutrition in the ICU can affect recovery, and this study compares standard feeding practices to a guideline-based approach. It is for adult ICU patients expected to need intensive care for more than 2 days.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

The study intervention involves the implementation of National-level guidelines for the provision of nutritional support in critical illness. 27 hospitals participated in this trial: 14 hospitals were randomised to the intervention group (guidelines implementation) and 13 were randomised to the control (standard care) group. The 14 intervention group hospitals received education on the content of the feeding guidelines and the 13 control hospitals received no education. Education was provided via a formal practice change strategy composed of Educational Outreach (one session, 45-60mins), Academic Detailing (as much as required), Posters, Active Reminders, Audit and Feedback and traditional in-servicing (as many sessions as required, 30-60mins per session).

Locations(1)

Australia

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ACTRN12608000407392