Standard vs Intensive Rehabilitation and Nutrition Regimen for Inpatients at the ICU

Launched by UNIVERSITY HOSPITAL OSTRAVA · Jan 26, 2022

Keywords

ClinConnect Summary

This clinical trial is studying how different levels of exercise and nutrition can help older patients who are in the Intensive Care Unit (ICU) recover from serious illnesses. The researchers want to find out if a more intensive approach to exercise and diet can help patients maintain or improve their strength and overall fitness while they are hospitalized. This is important because many patients lose muscle mass and strength during their hospital stay, which can lead to longer recovery times and a need for more help after they leave the hospital.

To participate in this study, patients should be between 65 and 74 years old, able to give consent, and must be admitted to the ICU for an acute internal illness, with a planned hospital stay of at least five days. They should also be able to move their lower limbs and take in food and fluids orally. Participants can expect to receive either standard or more intensive rehabilitation and nutrition support during their hospital stay, which aims to help them recover more quickly. It’s worth noting that some patients, such as those with severe chronic diseases or certain neuromuscular conditions, will not be eligible for this trial.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • male and female
• • patient admitted to the Intensive Care Unit of the Department of Internal Medicine and Cardiology, University Hospital Ostrava, for an acute illness of an internal nature; patients admitted to another department of the hospital whose transfer to the above-mentioned ICU (intensive care unit) was carried out within 24 hours of the start of hospitalization may also be included
• • assumption of a minimum length of hospital stay of 5 days
• • ability to give informed consent
• • the patient has both lower limbs
• • the patient can receive fluids and liquid food orally
• Exclusion Criteria:
• • patient admitted from another health care facility where he/she has been admitted for more than 48 hours
• • terminal stage of disease (tumor or non-tumor)
• • patient with neuromuscular disease (polymyositis, etc.)
• • severe chronic disease associated with severe maldigestion (e.g., patient on parenteral home nutrition)
• • patient is fully immobile for a long time