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โ† Trials
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The Effect of Continuous Versus Intermittent Enteral Nutrition on Metabolic Outcomes in Critically Ill Patients

RecruitingNAAges 18 Years - anyAllGelderse Vallei Hospital
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In plain words

What the trial is, and whether it could suit you

The goal of this clinical trial is to investigate the effect of continuous versus intermittent enteral nutrition on metabolic outcomes in critically ill adult patients. The aim of this study is to: โ€ข To assess the effect of a daytime intermittent tube feeding pattern compared to standard continuous tube feeding on glycaemic control, gastrointestinal function, gastrointestinal hormones, markers of sleep quality and circadian rhythm, and lean body mass and body composition. Participants will receive either continuous enteral nutrition for 24 hours a day or intermittent enteral nutrition during the day, consisting of 4 portions each administered over 1 hour between 8 am and 8 pm. The maximum duration of the intervention is 5 days or until participants do not receive exclusive gastric enteral nutrition.

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: 1. Age โ‰ฅ18 years; 2. Receiving or eligible to receive exclusively gastric tube feeding; 3. Expected ICU stay โ‰ฅ48 hours; 4. Receiving or anticipated to receive invasive mechanical ventilation within 48 hours after ICU admission. Exclusion Criteria: 1. The treating clinician considers participation in the study clinically contraindicated (e.g., change in feeding regimen, no possibility for placement of CGM on arms, not able to receive exclusive gastric tube feeding); 2. Death is deemed to be imminent or inevitable during admission, and the attending doctor, patient, or substitute decision-maker is not committed to active treatment; 3. Pregnancy; 4. Expected fasting for โ‰ฅ12 hours during the study period, for example, due to medical procedures; 5. Readmission in last 14 days; 6. Patients with burn injuries; 7. Participating in another nutritional intervention study.
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What it tests

  • Intermittent enteral nutrition
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Where

5 sites
Gelderse Vallei Hospital
Ede, Netherlands
Deventer Ziekenhuis
Deventer, Netherlands
Medisch Spectrum Twente
Enschede, Netherlands
Martini Ziekenhuis
Groningen, Netherlands
Haga Ziekenhuis
The Hague, Netherlands
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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