Enteral Feeding in the Post-Injury Open Abdomen
Enteral Nutrition in the Open Abdomen
The purpose of this study is to determine if Enteral Feeding (EN) in patients with a traumatic bowel injury requiring an open abdomen impacts outcomes. Patients who receive EN will be compared to those who remain nil-per-os (NPO). Additionally, an internal study control will be performed by analyzing concurrent injured patients requiring an open abdomen who did not have a bowel injury.
Specific aims:
Hypothesis 1: EN in patients with a traumatic bowel injury requiring an open abdomen improves fascial closure rate compared to patients who remain NPO.
Hypothesis 2: EN in patients with a traumatic bowel injury requiring an open abdomen reduces infectious complications compared to patients who remain NPO.
Hypothesis 3: EN in patients with a traumatic bowel injury requiring an open abdomen have a lower mortality rate compared to patients who remain NPO.
研究概览
地位
条件
详细说明
研究类型
注册 (实际的)
联系人和位置
学习地点
-
-
Colorado
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Denver、Colorado、美国、80204
- Denver Health Medical Center
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- All patients with a post-injury open abdomen
Exclusion Criteria:
- Patients to be excluded from analysis include deaths within 24 hours, identification of injury > 24 hours, and those transferred from an outside hospital > 24 hours following initial injury.
学习计划
研究是如何设计的?
设计细节
队列和干预
团体/队列 |
|---|
|
bowel injury, NPO
Patients with bowel injury who remain nil-per-os (fed nothing)
|
|
bowel injury, EN
Patients with bowel injury who are fed by enteral nutrition (EN)
|
|
no bowel injury, NPO
Patients without bowl injury who remain nil-per-os (fed nothing)
|
|
no bowel injury, EN
Patient without bowl injury who are fed by enteral nutrition (EN)
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
fascial closure rate
大体时间:participants will be followed for their hospital stay, which is on average expected to be 1 month
|
physical exam will document fascial closure
|
participants will be followed for their hospital stay, which is on average expected to be 1 month
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
mortality
大体时间:participants will be followed for their hospital stay, which is on average expected to be 1 month
|
subject mortality status
|
participants will be followed for their hospital stay, which is on average expected to be 1 month
|
其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
infectious complications
大体时间:participants will be followed for their hospital stay, which is on average expected to be 1 month
|
physical exam and imaging will be reviewed to assess infections
|
participants will be followed for their hospital stay, which is on average expected to be 1 month
|
合作者和调查者
调查人员
- 首席研究员:Clay Cothren Burlew, MD、Denver Health and Hospital Authority
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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