Data collected | Baseline | Day 1 —ICU D/C | Days 3, 7, 14, 21, 28 | Days 7, 14, 21, 28 | ICU D/C | Ward | Hospital D/C | 90-day and 180-day follow-up |
Screening, patient demographics and baseline data* | X | |||||||
SOFA | X | X | ||||||
Biochemistry† | X | X | ||||||
ICU daily data‡ | X | |||||||
ICU discharge information§ | X | |||||||
Ward data¶ | X | |||||||
Weekly data** | X | |||||||
Hospital discharge information†† | X | |||||||
Follow-up data‡‡ | X | |||||||
Escalations to nutrition care for intervention patients | All requested escalations to nutrition care for intervention patients should be recorded every day until hospital discharge, regardless of whether they were conducted or not | |||||||
Adverse events/serious adverse events | Description, timing, causality and resolution of adverse events from randomisation until day 90 | |||||||
Protocol deviations | Major protocol deviations:
Minor protocol deviations:
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X denotes must be collected on specified time point.
*Screening, patient demographics and baseline data: Patient and nutrition characteristics collected at screening will include: length of stay in the intensive care unit; patient initials; gender; height; weight; date of birth; enteral nutrition volume delivered during the 24 hours prior to screening. Patient information collected at baseline: Location prior to admission; ICU, hospital and time and date of commencement of mechanical ventilation; Acute Physiology and Chronic Health Evaluation (APACHE) II score; APACHE III diagnosis; comorbidities; Clinical Frailty Score; Malnutrition Universal Screening Tool; commencement of renal replacement therapy prior to randomisation; date and time of first central access insertion and other central access lines; energy and protein provision from hospital admission to time of randomisation; usual living location; Ethnicity (New Zealand sites only).
†Biochemistry variables if measured as part of routine practice: alanine aminotransferase; gamma-glutamyl transferase; alkaline phosphatase; bilirubin; triglycerides.
‡ICU daily data: Nutrition data: Study energy and protein requirements; energy and protein from nutrition and energy from non-nutrition sources; causes of and periods of fasting or interruptions to EN; if receiving oral diet: diet code and diet satisfaction, prescription and consumption of study oral nutrition supplements (intervention participants) and any other prescribed oral nutrition supplements (including intolerance issues), nutrition impacting symptoms if <50% of the intended oral intake was consumed. Clinical data: prokinetics; morning blood glucose and number of episodes of hypoglycaemia; units of insulin delivered; renal replacement therapy; changes in central line or new central access insertions; infectious complications; invasive mechanical ventilation.
§ICU discharge: nutrition data: mode of nutrition delivery; completion of INTENT nutrition discharge summary (intervention participants only). Clinical data: Survival; length of mechanical ventilation; ICU mobility scale; postdischarge location.
¶Ward data: nutrition data: study energy and protein requirements; energy and protein from nutrition; mode of nutrition and volumes where appropriate; if receiving oral diet: diet code and diet satisfaction, prescription and consumption of study oral nutrition supplements (intervention participants) and any other prescribed oral nutrition supplements (including intolerance issues), nutrition impacting symptoms if <50% of the intended oral intake was consumed; causes of and periods of fasting or interruptions to EN. Clinical data: weight (if recorded); use of antimemetics/antinausea medications; infectious complications.
**Weekly data: number of dietetic reviews per week (both groups); time spent implementing on the ward (intervention patients only).
††Hospital discharge: nutrition data: mode of nutrition delivery at discharge; length of time EN and PN delivered. Clinical data: survival; postdischarge location; weight; length of stay (ICU, ward hospital)
‡‡90-day and 180-day post randomisation: survival; Clinical Frailty Score; European Quality of Life 5 Dimension 5 Level and European Quality of Life Visual Analogue Scale; World Health Organisation Disability Assessment Schedule 2.0: 12-item version; resource utilisation.
CBW, calculated body weight; D/C, Discharge; ICU, intensive care unit; PN, parenteral nutrition; SOFA, Sequential organ failure assessment.