Effect of Location of Feeding on Glycemic Control in Critically Ill Patients (ELF)

Status unconfirmed · Not applicable

Conditions studied: Glucose Metabolism Disorders, Critical Illness

In brief

The purpose of this study is to investigate the effect of location of feeding on glycemic control in critically ill patients. The investigators hypothesize that glycemic control in critically ill patients who receive enteral nutrition through postpyloric location (beyond stomach) will have better glycemic control compared to critically ill patients fed gastrically.

Key facts

Study ID

NCT03566992

Run by

Winchester Medical Center

People needed

170

Starts

2017-05-01

Expected to finish

2018-09-01

Last updated by the study team

2018-06-26

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Adult (18 years or above) patients admitted in the critical care unit on mechanical ventilation for at least 48 hours
• Orders for tube feeding

You may not qualify if…

• Intubated for less than 48 hours (suspected insufficient time for the role of feeding mode to affect glycemic control)
• Patients not being fed (such as DKA, GI bleed, obstruction, ileus, etc)
• Pre-existing PEG/PEJ tubes
• Surgically altered upper and middle GI tract such as partial gastrectomy, gastric bypass surgeries etc. (patients with ileostomy and colostomy may still be included if the enteral route is used for nutrition)
• No informed consent
• Primary attending finds medical necessity to have a specific type of tube preventing randomization

Where it is running

• Winchester Medical Center — Winchester, Virginia, United States (enrolling)

Full record on ClinicalTrials.gov

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