About this trial
Due to medical advances and quality of care, mortality in adult intensive care units (ICUs) has decreased significantly in recent years, leading to a significant increase in the number of patients with high rehabilitation needs on discharge from the ICU.
A specific management by a multidisciplinary team has been set up since 2017 at the Geneva-ICU for long-stay patients (hospitalised ≥ 7 days).
This study aim to assess whether an optimization of the nutritional therapy coupled with an early mobility during and after the ICU stay allows an improvement in the muscle function at hospital discharge compared to patients receiving the standard care.
Eligibility criteria
Qualifiers
≥18 years old
On mechanical ventilation with an expected length of stay ≥ 7 days
Requiring artificial nutrition (enteral and/or parenteral nutrition)
Disqualifiers
New or pre-existing neuromuscular or nervous system disease
Spinal cord injury Severe polytrauma of the lower limbs (amputation etc.) Non-independent ambulation (including walking aids) before ICU admission
Transfer to another ICU
Patient living abroad from Switzerland
Trial design
Treatments tested in this trial
- Optimisation of nutrition therapy coupled with early mobilisation
- Standard care
Treatment groups
Sponsors and collaborators
HEIDEGGER CP
Lead sponsor
University Hospital, Geneva
Sponsor institution