RecruitingNot ApplicableNCT07149246

The Effect of a 6-month Dietitian-tailored Nutrition Intervention to Patients With Critical Illness (DETAIL)

The Effect of a 6-month DiEtitian-TAILored Nutrition Intervention Compared to Usual Care in Patients With Critical Illness. A Single Center Prospective Intervention Study


Sponsor

University Hospital of North Norway

Enrollment

300 participants

Start Date

Sep 1, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This research project aims to study the effect of optimal and individualised nutrition to patients with critical illness during the intensive care unit (ICU) and hospital admission, and until six months after admission. The investigators want to describe and compare the usual care with a dietitian-tailored nutrition care. The hypothesis is that dietitian-tailored nutrition care will result in a higher mean energy intake compared to usual care.


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • Admitted to the intensive care unit for \>48 hours.
  • At least 18 years of age
  • Have one or more organ system failure (respiratory,cardiovascular or renal) related to their acute illness defined as:
  • a. PaO2/FiO2≤300 mm Hg) b. Currently on one or more continuous inotrope/vasopressor infusion which were started at least 4 hours ago at a minimum dose of: i. Norepinephrine≥0.1 mcg/kg/min ii. Epinephrine≥0.1 mcg/kg/min iii. Any dose of vasopressin iv. Milrinone\>0.1 mcg/kg/min) c. Renal dysfunction defined as: i. Serum creatinine 2.0-2.9 times baseline or ii. Urine output 0.5 mL/kg/hour for ≥12 hours or iii. Currently receiving renal replacement therapy) d. Currently has an intracranial pressure monitor or ventricular drain in situ
  • Permanent living address in Norway

Exclusion Criteria6

  • Death is imminent in the next 96 hours or there is a current treatment limitation in place or the patient is unlikely to survive to 180 days due to underlying/chronic illness
  • Dialysis dependent chronic renal failure
  • Suspected or known pregnancy
  • Wheelchair user
  • Cognitive impairment in which intervention is considered not appropriate
  • Eating disorders -

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Interventions

OTHERNutrition intervention

Frequent follow-up from a dietitian during ICU and hospital stay, and after discharge, up to 6 months after ICU admission.


Locations(1)

University Hospital of North Norway

Tromsø, Norway

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NCT07149246


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