Personalized Nutrition to Improve Recovery in Trauma

Launched by DUKE UNIVERSITY · Sep 27, 2023

Keywords

ClinConnect Summary

This clinical trial is studying a special nutrition plan to help patients recover better after they have had abdominal surgery due to trauma. The trial is looking at whether a particular method, called the SeND Home pathway, which includes nutrition delivered through an IV, oral nutrition supplements (like shakes), and a device to measure calorie needs, can improve recovery for patients in the intensive care unit (ICU). Participants will be randomly assigned to either the SeND Home program or the standard nutrition care that is typically provided in the hospital. Both groups will undergo tests to check their energy use, body composition, muscle mass, and will also complete walking and strength tests as well as surveys about their quality of life.

To be eligible for this study, participants must be at least 18 years old and have experienced serious abdominal trauma that required emergency surgery. They also need to be in the surgical ICU and unable to eat by mouth for at least 72 hours. However, patients who cannot walk, those expected to stop life-sustaining treatment soon, prisoners, and women who are pregnant cannot participate. Those who join the study can expect close monitoring of their recovery and nutrition needs, which may help improve their overall healing process after surgery.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 18+ years old
• • Penetrating abdominal trauma requiring emergent major abdominal surgery
• • Admitted to the surgical ICU
• • Not expected to receive oral nutrition for 72 hours or more
• Exclusion Criteria:
• • Patients who are unable to ambulate at baseline
• • Expected withdrawal of life-sustaining treatment within 48 hours
• • Prisoners
• • Positive pregnancy test for women of child bearing potential.