Informations générales (source: ClinicalTrials.gov)
Interpretation and Optimization of Nutrition in the Intensive Care Units (IONIC)
Interventional
N/A
Dim3 (Voir sur ClinicalTrials)
avril 2024
septembre 2025
13 août 2024
Despite recommendations, inadequate nutritional intake in intensive care unit (ICU)
patients remains frequent and can lead to complications such as infections, increased
length of stay, prolonged weaning from ventilation, increased long-term mortality, and
decreased quality of life after intensive care. Studies have shown that patients only
receive up to 50-60% of prescribed calories and proteins due to many factors leading to
nutritional support interruptions such as ICU procedures, physical therapy, transport for
imaging or invasive procedures outside the ICU, and nutrition intolerance.
Furthermore, this discrepancy between prescribed and delivered nutrition may go largely
unnoticed, due to issues concerning inadequate manual or automated monitoring of
delivered nutrition. A joint "Call to Action" by ASPEN, the Academy of Nutrition and
Dietetics, and the American Society of Health-System Pharmacists stated that parenteral
nutrition errors and their contributing factors could be prevented by improving the
functionality of in-house Clinical Decision Support Systems and the interfaces between
electronic health records (EHRs), automated preparation devices and pharmacy systems.
Nutrow® is a software package designed to support nutritional management based on the
calculation of recommended calorie and protein requirements, real-time calculation and
monitoring of calorie and protein prescriptions, real-time calculation and monitoring of
calories and protein truly delivered to patients, and information feedback to
prescribers. Feedim® is a Medical Device Data System (MDDS), designed by Dim3, which
transmits information from enteral feeding pumps to third-party software, such as
Nutrow®.
The aim of the study is to assess whether the joint use of Nutrow-Feedim improves the
achievement of nutritional objectives in ICU patients prior to oral intake by reducing
the discrepancy between prescribed and delivered calories and protein.
Etablissements
| Les établissements sans correspondance certaine dans le répertoire FINESS dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| University Hospital Lille - 59037 - Lille - France | Eric KIPNIS, MD, PhD | Contact (sur clinicalTrials) | |||
Critères
Tous
Inclusion Criteria:
- Age 18 and over.
- French Social Security system registration.
- First stay in ICU
- Admitted to the Lille University Hospital Surgical ICU for at least 3 days.
- Active enteral and/or parenteral nutritional support prescription
- Patient and/or next-of-kin informed about the study and having consented to
participation in the study.
- Age 18 and over.
- French Social Security system registration.
- First stay in ICU
- Admitted to the Lille University Hospital Surgical ICU for at least 3 days.
- Active enteral and/or parenteral nutritional support prescription
- Patient and/or next-of-kin informed about the study and having consented to
participation in the study.
- Age under 18
- Burn patient
- Admitted to the ICU with a prior active enteral/parenteral nutritional support
before day 3, except trophic nutrition
- Dying patient, not-to-be-resuscitated order, or other treatment limitation decision
at ICU admission
- Adult under guardianship
- Department of corrections inmate