RecruitingNot ApplicableNCT07195383

GUSS-ICU Safe Nutrition Program After Extubation in ICU Patients

Evaluation of the Effects of Using the GUSS-ICU Safe Nutrition Program After Extubation in ICU Patients

Sponsor

Istanbul University - Cerrahpasa

Enrollment

82 participants

Start Date

Mar 5, 2025

Study Type

INTERVENTIONAL

Conditions

Dysphagia Dysphagia, Swallowing Function, Diet Modification, Dysphagia Diet, Diet Standardization

Summary

The aim of this study is to evaluate the effects of using the GUSS-ICU Safe Nutrition Program after extubation in Intensive Care Unit patients. This randomized controlled trial will be conducted in the Anesthesia Intensive Care Unit of Bakırköy Dr. Sadi Konuk Training and Research Hospital. Eligible participants will be randomly assigned to either the control group (usual care/routine follow-up group) or the intervention group (GUSS-ICU patients). Patients undergoing GUSS-ICU assessment will continue the nutritional program, as directed by the scale, for four days. Data are recorded on the first and last day. The data will then be evaluated in conjunction with the control group data.

Eligibility

Min Age: 18 Years

Inclusion Criteria1

Age 18 and over Patients expected to remain intubated for more than 24 hours. Patients who have been extubated for no more than 4 hours.

Exclusion Criteria9

Patients with neuromuscular disease
Patients requiring non-invasive ventilation for more than 6 hours after extubation
Patients being followed in the terminal phase
Patients with a tracheostomy cannula
Patients with a history of dysphagia
Patients with head/neck cancer or surgery
Patients with existing facial fractures
Patients with a RASS score not within the 0-2 range
Patients at high risk of bleeding (INR ≥ 2.0, Platelet count ≤ 50,000).

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Interventions

OTHERNutrion plan based on GUSS-ICU scale

To ensure a rapid and accurate transition to post-extubation nutrition, patients will be assessed using the GUSS-ICU scale at 4 hours after extubation. A nutrition plan will be created based on the patient's GUSS-ICU score and will be maintained for 4 days.