An observational study in Nutritional and Metabolic Diseases, sponsored by University of Oklahoma. Completed. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2019-06-12.
Sponsored by University of Oklahoma · Observational
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Internal medicine resident physicians were provided an ipod with the EN application to assist them in choosing EN formulas for patients during their ICU rotation. The primary outcome was improved initiation of EN within 24 hours of admission. Secondary outcomes include, time to initiate EN, goal calories reached, infections rates, length of stay, mortality, and concordance with clinical guidelines.
Background: Resident physicians are frequently uncomfortable ordering enteral nutrition (EN) and are unaware of the variety of formulas and supplements available for different disease processes. Many depend on a clinical dietitian to assist with recommending EN formulas and patient energy requirements which may not be readily available upon patient admission. This creates a barrier to early initiation of EN and non-compliance with Society of Critical Care Medicine and American Society of Parenteral and Enteral Nutrition clinical guidelines. Objective: Internal medicine resident physicians were provided an ipod with the EN application to assist them in choosing EN formulas for patients during their ICU rotation. The primary outcome was improved initiation of EN within 24 hours of admission. Secondary outcomes include, time to initiate EN, goal calories reached. Design: This study is a retrospective chart review to evaluate the impact of a smart phone/device application (EN application) to assist resident physicians when ordering EN. The study is a single center trial conducted at an academic teaching facility. All patient data was obtained by a retrospective chart review of patients admitted to the intensive care unit (ICU) at The University of Oklahoma Medical Center.
72 studies on the registry are indexed under Nutritional and Metabolic Diseases; 20 are open to participants now.
This study's enrollment of 376 is above the median of 338 across 18 observational studies indexed under Nutritional and Metabolic Diseases.
Browse Nutritional and Metabolic Diseases studies →University of Oklahoma is the lead sponsor of 432 studies on the registry; 100 are open to participants now.
Of its 42 completed or terminated interventional studies of FDA-regulated products, 16 (38%) have results posted.
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Medical ICU patients who can tolerate enteral nutrition
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Exclusion Criteria:
Patients admitted prior to use of tube feeding application
Patients admitted when tube feeding application was being used.
Other: Tube Feeding Application
A smart device application was developed and used to help residents determine the best enteral nutrition prescription for patients admitted to the ICU
The primary outcome was improved initiation of EN within 24 hours of admission
percent of patients with enteral nutrition ordered within 24 hours of admit compared to all patients admitted
Time frame: The time frame does involve a change in practice. The change is introduction of a smart app- 12 months prior to the smart device being used in the ICU by residents and 12 months during which the smart application was use by the ICU residents
Total time to initiate EN
total hours between admit and when enteral nutrition is ordered
Time frame: The time frame does involve a change in practice. The change is introduction of a smart app- 12 months prior to the smart device being used in the ICU by residents and 12 months during which the smart application was use by the ICU residents
Percent of goal calories received prior to discharge from ICU
percent of calories received (a percent of the total recommended calories for the patient)
Time frame: The time frame does involve a change in practice. The change is introduction of a smart app- 12 months prior to the smart device being used in the ICU by residents and 12 months during which the smart application was use by the ICU residents
No study locations are listed for this record.
Plan to share: No
No publications or documents are linked to this record.
Ran from Jun 2015 to primary completion in Jul 2017, 25 months.
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This study is completed, as verified in Jun 2019. You cannot join it, but the record below documents what was studied.
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Nutritional and Metabolic Diseases →