Smart Phone Application for Enteral Nutrition

NCT ID: NCT03419299

Last Updated: 2019-06-12

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 376 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2015-06-30
• Study Completion Date: 2017-07-31

Brief Summary

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.

Detailed Description

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.

Conditions

Nutritional and Metabolic Diseases

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: RETROSPECTIVE

Study Groups

Pre- Application

Patients admitted prior to use of tube feeding application

No interventions assigned to this group

Post- Application

Patients admitted when tube feeding application was being used.

Tube Feeding Application

Intervention Type: OTHER

A smart device application was developed and used to help residents determine the best enteral nutrition prescription for patients admitted to the ICU

Interventions

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

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Admitted to the ICU

2. Require Mechanical Ventilation

3. Physician plans to order enteral nutrition for the patient

Exclusion Criteria

1. Death likely within 24 hours

2. Needing parenteral nutrition

3. Cannot tolerate enteral nutrition for any reason

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 90 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Oklahoma

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Other Identifiers

OU 4496

Identifier Type: -

Identifier Source: org_study_id