Organ support & nutrition

The impact of a tailored nutrition intervention delivered for the duration of hospitalisation on daily energy delivery for patients with critical illness (INTENT): a phase II randomised controlled trial

Crit CarePublished Randomised controlled trial

Primary resultResult — go to the resultAdjusted mean difference 271 kcal/day 95% CI 189–354

Authors' conclusion

A tailored nutrition intervention commenced in the ICU and continued until hospital discharge achieved a significant increase in energy delivery over the duration of hospitalisation for patients initially admitted to the ICU.

Study context

Population
Adults requiring invasive mechanical ventilation (MV) for 72–120 h in Intensive Care Unit (ICU) and receiving < 80% estimated energy requirements from enteral nutrition (EN), 22 hospitals in Australia and New Zealandmodified ITT analysis
Participants
237 adults
Comparison
Tailored nutrition for the duration of hospitalisation vs usual care
  • Tailored nutritionn = 119
  • Usual caren = 118reference
Primary endpoint
Daily energy delivery from nutrition (kcal)
Methodological detailsphase II, multicentre, unblinded, parallel-group
  • Phase II
  • Multicentre
  • Unblinded
  • Parallel-group

Primary result

As reported in the abstract

Adjusted mean difference

271 kcal/day

95% CI 189–354

By group

Tailored nutrition vs Usual care
adjusted mean difference 271 kcal/day (95% CI 189–354)

Secondary outcomes

Intervention period

Hospital LOS, ventilator free days at day 28, total blood stream infection rate

No differences in any secondary outcomes

Original publication

The impact of a tailored nutrition intervention delivered for the duration of hospitalisation on daily energy delivery for patients with critical illness (INTENT): a phase II randomised controlled trial. Crit Care. Published 6 January 2025. doi:10.1186/s13054-024-05189-3

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