Does a Clinical Support System for Parenteral Nutrition (PN) Facilitate the Judgement on Choosing the Most Effective Commercial Solution Per Patient (and Modify it, if Necessary)? (CDSS)

Iaso Maternity Hospital, Athens, Greece

Status: Completed

Conditions: Clinical Decision Support System

Treatments: Other: CDSS Canceling

Study type: Interventional

Funder types: Other

Identifiers

NCT05670613

19042020

Details and patient eligibility

About

Standard formulas of PN have been developed and provided to patients. Only few randomized controlled studies compared standardized vs individualized PN. Individually tailored PN, only if standard PN solutions do not meet patient's nutritional needs. ASPEN society recommends the use computerized prescribing. Technology has enabled the incorporation of medical guidelines in CDSSs. New approach: Comparison of patient's calculated nutritional needs with commercial available solutions.

Enrollment: 67 patients

Sex: All

Ages: 18 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Hospitalize Patients unable to be fed via gastrointestinal tract.
• Hemodynamically stable patients.
• PN regimen should remain the same for the first 3 days.

Exclusion criteria

• Hemodynamically unstable.
• Anticipated need for parenteral nutrition less than 5 days.

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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67 participants in 2 patient groups

Dispense Ready to Use PN Solutions

Other group

Description:

Dispensed to patient commercial solution.

Treatment:

Other: CDSS Canceling

Dispense the most effective commercial Solution calculated with the use of the CDSS

Other group

Description:

Dispensed to patient the most effective commercial solution after the CDSS calculations.

Treatment:

Other: CDSS Canceling