Nutrition Under Noninvasive Ventilation (NUTRINIV)

Università degli Studi del Piemonte Orientale Amedeo Avogadro

Status: Completed

Conditions: Noninvasive Ventilation; Respiratory Insufficiency; Nutrition Therapy

Study type: Observational

Funder types: Other

Identifiers

NCT06260202

308.273

Details and patient eligibility

About

Even though nutrition is a fundamental component of Intensive care unit (ICU) therapy, critically ill patients are frequently malnourished, a factor well known for its strong association with a higher risk of complications, prolonged ICU/hospital length of stay, and greater ICU readmission and mortality rates. Noninvasive ventilation (NIV) use has increased considerably over the past twenty years, making this supportive technique a keystone of acute respiratory failure (ARF) treatment. In this setting, respiratory support is provided through an interface, usually a mask or a helmet, that frequently represents an important obstacle to nutrition delivery, making oral intake impossible and posing the necessity to start enteral (EN) or parenteral nutrition (PN). Moreover, while critical care guidelines regarding nutritional management of patients receiving mechanical ventilation (MV) are well established, data and recommendations about the appropriate nutritional support to patients in NIV are still very limited. Due to this limited data, we want to describe characteristics and nutritional management of patients undergoing NIV in ICU, and to evaluate the difference between the mean caloric and protein intake of these patients and the recommended caloric and protein target for critically ill patients. Secondarily, we want to evaluate the difference of the caloric and protein intake among groups of patients undergoing different nutritional modality and to assess potential associations of the nutritional characteristics with patient outcomes.

Enrollment: 112 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult patients;
• Admission to the Intensive Care Unit of Maggiore della Carità University Hospital from March 1st 2020 to February 28th 2023;
• Noninvasive ventilation treatment for acute respiratory failure of any cause;
• Duration of noninvasive ventilation treatment of more than two days;
• Informed consent signed.

Exclusion criteria

• Patients under 18 years of age;
• Duration of noninvasive ventilation treatment of less than two days.