PUSH-IT Continuing Enteral Feeds for Tracheostomy

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorState University of New York at Buffalo

About this trial

The goal of this clinical trial is to evaluate nutrition administration in the time around the tracheostomy in patients with breathing tubes. The main questions it aims to answer are:

* Will continuing nutrition up to the time of surgery (tracheostomy) decrease nutrition interruptions, thereby increasing food intake? * Does continuing nutrition up to the time of surgery increase instances of food going into the lungs or lung infections?

Researchers will compare patients who have nutrition withheld 6 hours prior to surgery versus those who receive nutrition up until the time of surgery to see if there are differences in food intake, instances of food entering the lungs or lung infections.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

18 years or older

admitted to the intensive care unit (ICU)

intubated and require tracheostomy

Disqualifiers

under 18 years

unable to obtain informed consent

deemed clinically brain dead within 7 days of enrollment

transitioned to comfort measures within 7 days of enrollment

Trial design

Design model

Parallel

Treatments tested in this trial

  • Feeds continued

    Other intervention

    Enteral feeds are continued up until time of surgery

  • Feeds held

    Other intervention

    Enteral feeds are stopped 6 or more hours before surgery

Treatment groups

200 Participants
are divided into 2 treatment groups
Group A: Feeds continuedExperimental treatment 1 intervention
Group B: Feeds withheldOther 1 intervention

Trial outcomes

Primary outcomes

1

Rate of aspiration pneumonia

To assess differences in rates of aspiration events, a log-rank test for differences in survival curves model will be used. Assuming proportional hazards and non-informative censoring, a cox-model will be used to estimate follow-up hazard ratios for development of aspiration pneumonia between the two groups of interest.

Time frame
Over 7 days from the time of tracheostomy

Secondary outcomes

1

Volume of tube feed delivery

We will compare the volume of tube feeds delivered daily between the two groups for the duration of the study.

Time frame
From day of consent to completion of study which is 7 days from the time of tracheostomy.

Other outcomes

Sponsors and contacts

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