Optimised Nutritional Therapy and Early Physiotherapy in Long Term ICU Patients (NutriPhyT Trial)

Launched by HEIDEGGER CP · May 9, 2023

Keywords

ClinConnect Summary

**Summary of the NutriPhyT Trial**

The NutriPhyT Trial is a study looking at whether better nutrition and early physical activity can help patients who have been in the intensive care unit (ICU) for a long time. As more patients survive their time in the ICU, many leave with weak muscles and a need for rehabilitation. The trial aims to see if providing more specialized nutritional support and getting patients moving sooner can improve their muscle function by the time they leave the hospital, compared to those receiving standard care.

To participate in this study, patients must be at least 18 years old, on a ventilator, and expected to stay in the ICU for at least seven days while needing special feeding methods. However, patients who are pregnant, have severe neurological issues, or other specific conditions may not be eligible. If someone joins the trial, they can expect to receive a tailored nutrition plan and early mobility support during their ICU stay, with the hope that these interventions will help them regain strength and function more effectively when they leave the hospital.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• Any patient admitted to the adult ICU :
• • ≥18 years old
• • On mechanical ventilation with an expected length of stay ≥ 7 days
• • Requiring artificial nutrition (enteral and/or parenteral nutrition)
• Exclusion Criteria:
• • Therapeutic withdrawal Pregnant or breastfeeding patients
• Neurological disorders with motor deficits:
• • New or pre-existing neuromuscular or nervous system disease
• • Spinal cord injury Severe polytrauma of the lower limbs (amputation etc.) Non-independent ambulation (including walking aids) before ICU admission
• For organizational reasons not allowing follow-up :
• • Transfer to another ICU
• • Patient living abroad from Switzerland
• • Patient living in nursing homes preceding to ICU admission
• • Incarcerated patients
• • Intellectual/cognitive disabilities or language barrier, limiting ability to follow the instructions