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. 2018 Jun 4;2018(6):CD007867. doi: 10.1002/14651858.CD007867.pub2

Ochoa 2017.

Trial name or title Hypocaloric high‐protein enteral nutrition improves glucose management in critically ill patients
Methods Study design: prospective, randomized, multicenter clinical trial
Settings and countries: ICU of 7 academic centres at USA and Canada. In USA: Wake Forest University, Winston‐Salem, North Carolina; University of Kentucky, Lexington, Kentucky; Emory University, Atlanta, Georgia; Medicine, University of Chicago, Hinsdale, Illinois; Pulmonary Medicine, Regions Hospital, St Paul, Minnesota; Vanderbilt University, Nashville, Tennessee. In Canada: Kingston Hospital, Kingston, Ontario.
Funding: Nestlé Health Science
Participants Inclusion criteria
  1. Mechanically‐ventilated critically‐ill, obese and overweight participants requiring enteral nutrition.


Exclusion criteria
  1. Not reported.


Sample size: calculated sample size of 100 participants per group, based in a reduction of “out‐of‐range” glycaemic events and their standard deviation (glucose variability). Sample size of each arm of the study not reported. “Ninety‐eight subjects were randomized into the study at the time of interim analysis. Of these subjects, 40 had at least 5 days of data collected. The remaining subjects withdrew primarily due to removal of the feeding tube”
Age (years, mean ± SD): Group 1: hypocaloric: 60.7 ± 15.07; Group 2: 62.6 ± 12.09
Sex (% of women): Group 1: 42.9; Group 2: 55.1
Primary disease of the participants. Not reported
Disease severity: APACHE II score (mean ± SD). Group 1: 25.1 ± 9.0; Group 2: 26.3 ± 9.24
Nutrition status: BMI (kg/m2; mean ± SD). Group 1: 33.7 ± 4.57; Group 2: 32.5 ± 5.65
Mechanical ventilation: not available
Comorbidities: not available
Level of inflammation: not available
Interventions Group 1 hypocaloric (n = not available)
  1. Enteral nutrition with a hypocaloric, high‐protein formulation


Group 2 (n = not available)
  1. Enteral nutrition with a normocaloric, high‐protein formulation


Co‐interventions
In both study groups the quantity of the assigned formula was enough to provide 1.5 grams of protein/kg ideal body weight/day
Outcomes Primary endpoint
  1. Number of glycaemic events in the first 7 days in ICU > 150 mg/dL or < 110 mg/dL


Other endpoints
  1. Not defined, but reported results of mean daily glycaemia, blood glucose variability, hypoglycaemia (< 81 mg/dl) and insulin administered


Outcomes and time points: not clearly defined
Subgroups: not available
Starting date Not available
Contact information Juan.Ochoa@US.nestle.com. We contacted the study author and he replied that he would send us the study results.
Notes An interim analysis was scheduled when 40 participants completed at least 5 days of data collection. All the current information comes from the abstract of a congress presentation (ASPEN, CNW, Orlando, Florida, 18 to 21 February, 2017) regarding the preliminary analysis of the intention‐to‐treat data.

Abbreviations:

APACHE = Acute Physiology And Chronic Health Evaluation II; BMI = Body Mass Index; ICU = Intensive Care Unit; REE = resting energy expenditure; SD = standard deviation; μg/kg/min = micrograms/kilograms/minute