Assessing Nutritional Status in Patients With Sepsis
Anahtar kelimeler
Öz
Açıklama
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.
Tarih
| Son Doğrulandı: | 03/31/2019 |
| İlk Gönderilen: | 12/16/2018 |
| Tahmini Kayıt Gönderildi: | 04/04/2019 |
| İlk Gönderilen: | 04/07/2019 |
| Son Güncelleme Gönderildi: | 04/04/2019 |
| Son Güncelleme Gönderildi: | 04/07/2019 |
| Fiili Çalışma Başlangıç Tarihi: | 06/14/2016 |
| Tahmini Birincil Tamamlanma Tarihi: | 06/14/2017 |
| Tahmini Çalışma Tamamlanma Tarihi: | 12/14/2017 |
Durum veya hastalık
Müdahale / tedavi
Diagnostic Test: NRS 2002, nutric, SGA and adductor pollicis
Evre
Kol Grupları
| Kol | Müdahale / tedavi |
|---|---|
| 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 |
Uygunluk kriterleri
| Çalışmaya Uygun Yaşlar | 18 Years İçin 18 Years |
| Çalışmaya Uygun Cinsiyetler | All |
| Sağlıklı Gönüllüleri Kabul Ediyor | Evet |
| Kriterler | 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 |
Sonuç
Birincil Sonuç Ölçütleri
1. to understand the best malnutrition screening test [18 months]
