Assessing Nutritional Status in Patients With Sepsis
Keywords
Abstract
Description
The majority of patients in the intensive care unit are diagnosed with sepsis. Malnutrition is frequently observed in these patients, and malnutrition can be detected by tests performed in patients such as NRS-2002, nutric and SGA. The parameters evaluated in the SGA test are: the investigatorsight loss in the last 6 months, the investigatorsight loss in the last 2 the investigatorseks, changes in oral intake, dietary changes, nausea, vomiting, diarrhea, functional capacity, subcutaneous fat evaluation, muscle loss assessment, edema and acid. All these parameters are evaluated with the help of a scale and the patient's malnutrition status is classified as A, B, C. Group A is mild, group B is medium and group C indicates heavy malnutrition. This test is a test that can be carried out at bedside. In the other test, NRS-2002, the patient is scored according to the patient's nutritional status and the severity of the disease. Here, the score is greater than ≥3 indicates that the patient is at risk of malnutrition. In our study, the investigators aimed to investigate the efficacy of these three values in patients with sepsis in intensive care unit. The patients will be diagnosed with sepsis according to 2013 sepsis diagnostic criteria. In these diagnostic criteria, the systemic inflammatory reaction syndrome criteria are fever> 38.3 ° C or <36 ° C,> 12000 / mm3 or <4000 / mm3, or more than 10% banded leucocytes, the respiratory rate is greater than 20 / min or In case of two suspected outbreaks> 90 / min., or suspected infection or culture-proven infection, the patient will be diagnosed with sepsis. NRS-2002, nutric and SGA tests will be performed in all patients who are diagnosed with sepsis and are expected to stay in intensive care for more than 24 hours. Adductor pollicis longus muscle thickness will be measured in the same patients to understand the effectiveness of these tests on malnutrition. These tests will be carried out only once. All tests are painless procedures. Adductor pollicis longus muscle measuring apparatus is available in intensive care.
Dates
| Last Verified: | 03/31/2019 |
| First Submitted: | 12/16/2018 |
| Estimated Enrollment Submitted: | 04/04/2019 |
| First Posted: | 04/07/2019 |
| Last Update Submitted: | 04/04/2019 |
| Last Update Posted: | 04/07/2019 |
| Actual Study Start Date: | 06/14/2016 |
| Estimated Primary Completion Date: | 06/14/2017 |
| Estimated Study Completion Date: | 12/14/2017 |
Condition or disease
Intervention/treatment
Diagnostic Test: NRS 2002, nutric, SGA and adductor pollicis
Phase
Arm Groups
| Arm | Intervention/treatment |
|---|---|
| Active Comparator: nutric score > 5 indicates high risk for malnutrition < 4 indicates low risk for malnutrition | |
| Placebo Comparator: adductor pollicis < 20 mm indicates high high risk for malnutrition > 20 mm indicates low risk for malnutrition | |
| Placebo Comparator: SGA score SGA 1 indicates no malnutrition SGA 2 indicates good diet SGA 3 indicates high risk for malnutrition | |
| Placebo Comparator: NRS 2002 score > 3 indicates high risk for malnutrition |
Eligibility Criteria
| Ages Eligible for Study | 18 Years To 18 Years |
| Sexes Eligible for Study | All |
| Accepts Healthy Volunteers | Yes |
| Criteria | Inclusion Criteria: patients in the ICU for more than 24 hours patients with sepsis Exclusion Criteria: under 18 years old over 90 years old patients who dot have sepsis |
Outcome
Primary Outcome Measures
1. to understand the best malnutrition screening test [18 months]
